Shunt infections are common pediatric neurosurgical cases with high morbidity that almost always requires surgical removal of the shunt, external ventricular drain placement, and delayed shunt replacement. Tunnel infections are well-described clinical entities occurring with indwelling catheters, whereby the indwelling tunnel portion of a line becomes externally infected with a sterile central lumen. These infections are typically treated with line replacement or antibiotics depending on clinical circumstances. We describe 2 cases of shunt tunnel infection. Both cases presented as erythema over the thoracic portion of the shunt without signs of CNS infection, with only a remote history of shunt surgery and no recent systemic illness. One case was treated with a course of antibiotics, and the other with surgical removal and eventual replacement. Both children made full recoveries. Our case series juxtaposes 2 alternative successful strategies for treating the rare entity of shunt tunnel infection.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1159/000490062 | DOI Listing |
Pediatr Pulmonol
February 2025
Department of Radiology, U.N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, India.
Int J Cardiol Congenit Heart Dis
March 2025
State Key Laboratory for Innovation and Transformation of Luobing Theory, Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Background: To report one young man suffered from retinal artery occlusion (RAO) due to patent foramen ovale (PFO).
Objective: The aim of this study was to assess the mechanism for RAO in a patient with a PFO.
Method: A 35-year-old male who developed RAO was studied.
Hepatol Commun
February 2025
Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany.
Background: Refractory ascites (RA) remains a serious complication in patients with cirrhosis. Currently, the insertion of a TIPS is considered the standard of care in these patients. To achieve symptom control in those with TIPS contraindications, tunneled peritoneal catheters (PeCa) or ascites pumps were introduced.
View Article and Find Full Text PDFSci Rep
January 2025
Department of Nephrology and Rheumatology, Yongchuan Hospital of Chongqing Medical University, Chongqing, 402160, China.
We aimed to evaluate the incidence of residual shunt after patent foramen ovale (PFO) closure and analyze the anatomical features of PFO to determine the risk factors for significant residual shunt after PFO closure. Ninety-two patients who underwent PFO closure at our center between September 2021 and June 2022 were consecutively enrolled. Transthoracic saline contrast echocardiography was performed at 6 and 12 months postoperatively to evaluate the presence of a significant residual shunt.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!