Hellbusch L C, Penn R G
Department of Surgery (Neurosurgery), Children's Memorial Hospital, Omaha, NE 68114.
Childs Nerv Syst. 1989 Oct;5(5):315-7. doi: 10.1007/BF00274521.
Three cases of cerebrospinal fluid (CSF) shunt infection by unencapsulated Haemophilus influenzae are presented. In all, 22 cases of H. influenzae CSF shunt infections have previously been reported. In contrast to these cases, the current three patients showed acute involvement of the peritoneal end of the shunt with unencapsulated H. influenzae. Medical therapy without shunt removal is successful in eliminating H. influenzae type b shunt infection associated with meningitis. However, significant involvement of the peritoneal portion of the catheter by unencapsulated H. influenzae is an indication for removal of the distal portion of the catheter along with appropriate antibiotic therapy.
本文报告了3例由未分型流感嗜血杆菌引起的脑脊液（CSF）分流感染病例。此前总共已报告过22例流感嗜血杆菌引起的CSF分流感染病例。与这些病例不同的是，目前这3例患者的分流装置腹腔端出现了未分型流感嗜血杆菌的急性感染。对于与脑膜炎相关的b型流感嗜血杆菌分流感染，不拆除分流装置进行药物治疗可成功消除感染。然而，未分型流感嗜血杆菌对导管腹腔部分造成严重感染时，则表明需要拆除导管远端部分并进行适当的抗生素治疗。
