Manuel Adarsh, Jayachandran Akarsh, Harish Srinivasan, Sunil Thenozhi, K R Vishnu Das, K Rajeev, Jo Joseph, Unnikrishnan Muthukuttiparambil, George Koshy, Bahuleyan Biji
Department of Neurosurgery, Lisie Hospital, Ernakulam, Kerala, India.
Department of Gastroenterology, Lisie Hospital, Ernakulam, Kerala, India.
Access Microbiol. 2021 Oct 7;3(10):000266. doi: 10.1099/acmi.0.000266. eCollection 2021.
is an extremely rare pathogen responsible for ventriculoperitoneal shunt infection and meningitis. This young female patient with history of multiple shunt revisions in the past, came to us with shunt dysfunction and exposure of the ventriculoperitoneal shunt tube in the neck. The abdominal end of the shunt tube was seen migrating into the bowel during shunt revision. The cerebrospinal fluid analysis showed evidence of growth. This is the first reported case of meningitis associated with ventriculoperitoneal shunt migration into the bowel.
是一种极为罕见的病原体,可导致脑室腹腔分流感染和脑膜炎。这位年轻女性患者既往有多次分流修正史,因分流功能障碍和脑室腹腔分流管在颈部外露前来就诊。在分流修正过程中,发现分流管的腹腔端移入肠道。脑脊液分析显示有生长迹象。这是首例报道的与脑室腹腔分流管移入肠道相关的脑膜炎病例。