[Clinical findings and diagnostic problems in a case of shunt nephritis. (author's transl)].
A report is presented on a nine year old girl in whom a Spitz-Holter valve had to be implanted after operation on a meningomyelocele while a neonate. Because of a macrohematuria and a hypochromic anemia, she was admitted as an inpatient. In addition, there was a pyuria with bilateral hydronephrosis. The clinical picture was initially misinterpreted as hemorrhagic cystitis with ascending pyelonephritis in neurogenic bladder. Only the reduction of serum complement suggested the presence of a shunt nephritis. The diagnosis was verified by kidney biopsy. After removal of the infected valve system, there was a prompt normalization of all laboratory parameters. Besides description of the case history, above all the diagnostic problems of this rare syndrome, which is nevertheless of practical importance, are dealth with.
D000747:Anemia, Hypochromic / Q000209:etiology; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D002648:Child; D003165:Complement System Proteins / Q000032:analysis; D005260:Female; D005921:Glomerulonephritis / Q000175:diagnosis / Q000209:etiology*; D006417:Hematuria / Q000209:etiology; D006801:Humans; D006869:Hydronephrosis / Q000150:complications; D008591:Meningomyelocele / Q000601:surgery; D011776:Pyuria / Q000209:etiology; D013577:Syndrome
D003165:Complement System Proteins
Klinik und diagnostische Probleme bei einem Fall von Shunt-Nephritis.