title: Ventricular peritoneal shunt infection resulting from group B streptococcus.
abstract: OBJECTIVE
  To report, to our knowledge, the first case of a ventricular peritoneal shunt infection by group B streptococcus occurring in infancy.
  
  
  METHODS
  Descriptive case report.
  
  
  METHODS
  Neonatal intensive care unit in a tertiary referral military hospital.
  
  
  METHODS
  A 3-month-old, former preterm infant with a case of postoperative ventricular peritoneal shunt infection by group B streptococcus occurring in infancy.
  
  
  METHODS
  The infant's shunt infection was treated with a prolonged course of antibiotics, shunt removal, and eventual shunt replacement. He developed a persistently enlarging third ventricular region cyst, which ultimately required endoscopic surgical fenestration.
  
  
  RESULTS
  Currently, at 25 months of age, the patient has some moderate developmental delays but is otherwise healthy and making progress with no evidence of any recurrent infection
  
  
  CONCLUSIONS
  Group B streptococcus should be considered as a potential pathogen in ventricular peritoneal shunt infections in infants even outside of the immediate neonatal period. Providers caring for infants should be especially cognizant of the potential risk for nosocomial infections in former premature neonates, especially following high-risk surgical procedures. Prompt recognition of ventricular peritoneal shunt infections and management to include early shunt removal and appropriate antibiotic coverage are recommended in an effort to optimize outcome.
authors.affiliation: Department of Pediatrics, Wilford Hall USAF Medical Center, San Antonio, TX, USA.
authors.forename: Ryan M
authors.initials: RM
authors.lastname: McAdams
authors.forename: Susannah
authors.initials: S
authors.lastname: Simone
authors.forename: Gerald
authors.initials: G
authors.lastname: Grant
authors.forename: Robert J
authors.initials: RJ
authors.lastname: DiGeronimo
mesh_terms: D003428:Cross Infection / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D013290:Streptococcal Infections / Q000209:etiology*; D013292:Streptococcus agalactiae; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*