The shampoo clue: two cases of infection of a ventriculoatrial shunt.
Despite the use of sophisticated tools, infections of implanted devices may be difficult to diagnose. Two cases of infections of ventriculoatrial shunts, which demonstrate the eminent importance of meticulously taking history, are reported and discussed.
Apsner
R
R
Department of Internal Medicine III, Division of Nephrology and Dialysis, General Hospital, University of Vienna, Austria. robert.apsner@nephro.imed3.akh-wien.ac.at
Winkler
S
S
Schneeweiss
B
B
Hörl
W H
WH
D000328:Adult; D016470:Bacteremia / Q000175:diagnosis* / Q000382:microbiology; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology* / Q000382:microbiology; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000382:microbiology; D006197:Hair; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery; D006920:Hygiene; D008297:Male; D011425:Propionibacterium acnes / Q000302:isolation & purification; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000382:microbiology; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology; D013212:Staphylococcus epidermidis / Q000302:isolation & purification