Abstract
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.
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References
Lerman SJ (1981) Haemophilus influenzae infections of cerebrospinal fluid shunts: report of two cases. J Neurosurg 54:261–263
McLaurin RL, Frame PT (1987) Treatment of infections of cerebrospinal fluid shunts. Rev Infect Dis 9:595–603
Patriarca PA, Lauer BA (1980) Ventriculoperitoneal shunt-associated infection due to Haemophilus influenzae. Pediatrics 65:1007–1009
Petrak RM (1986) Haemophilus influenzae meningitis in the presence of cerebrospinal fluid shunts. Neurosurgery 18:79–81
Rennels MC, Wald ER (1980) Treatment of Haemophilus influenzae type b meningitis in children with cerebrospinal fluid shunts. J Pediatr 97:424–426
Sells CJ, Shurtleff DB, Loeser JD (1977) Gram-negative cerebrospinal fluid shunt-associated infections. Pediatrics 59:614–618
Smith AL (1983) Antibiotic resistance in Haemophilus influenzae. Pediatr Infect Dis 2:352–355
Stern S, Bayston R, Hayward RJ (1988) Haemophilus influenzae meningitis in the presence of cerebrospinal fluid shunts. Child's Nerv Syst 4:164–165
Yogev R (1985) Cerebrospinal fluid shunt infections: a personal view. Rev Infect Dis 4:113–118
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Hellbusch, L.C., Penn, R.G. Cerebrospinal fluid shunt infections by unencapsulated Haemophilus influenzae . Child's Nerv Syst 5, 315–317 (1989). https://doi.org/10.1007/BF00274521
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DOI: https://doi.org/10.1007/BF00274521