Treatment of cerebrospinal fluid and syringosubarachnoid shunt infection with systemic and intrathecal antibiotics.
We present a case of a patient with two preexisting Silastic syringosubarachnoid shunt catheters who developed Enterobacter meningitis. The infection was treated successfully with systemic and intrathecal antibiotics without removal of the catheters. With careful sequential clinical and laboratory monitoring, even this type of cerebrospinal fluid shunt infection can be eradicated without catheter removal and replacement.
D000900:Anti-Bacterial Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D004756:Enterobacteriaceae Infections; D006801:Humans; D007278:Injections, Spinal; D008297:Male; D008581:Meningitis / Q000188:drug therapy / Q000209:etiology*; D008875:Middle Aged; D013129:Spinal Puncture; D013346:Subarachnoid Space; D013595:Syringomyelia / Q000601:surgery
D000900:Anti-Bacterial Agents