title: [Non-surgical management of an infected ventriculo-atrial shunt].
abstract: We report on a 81-year old patient who showed clinical signs of a shunt infection eight months after implantation of a ventriculo-atrial shunt system Heyer-Schulte. The reason was identified to be a massive infection with staphylococcus albus. Elimination of the infection was achieved by intravenous administration of fosfomycine and local instillation of gentamycin into the valve. The follow-up was uneventful for more than two years until the death of the patient in January 1987.
authors.affiliation: Neurochirurgische Klinik des Klinikum Minden.
authors.forename: P M
authors.initials: PM
authors.lastname: Zink
authors.forename: D
authors.initials: D
authors.lastname: Schick
authors.forename: A E
authors.initials: AE
authors.lastname: Trappe
mesh_terms: D000368:Aged; D001932:Brain Neoplasms / Q000150:complications; D002557:Cerebrospinal Fluid Shunts; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005260:Female; D005578:Fosfomycin / Q000008:administration & dosage*; D005839:Gentamicins / Q000008:administration & dosage*; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D007276:Injections, Intraventricular; D013203:Staphylococcal Infections / Q000188:drug therapy*; D013530:Surgical Wound Infection / Q000188:drug therapy*
chemical_list: D005839:Gentamicins; D005578:Fosfomycin
vernacular_title: Nicht-operative Sanierung eines infizierten ventrikulo-atrialen Shunts.