title: Massive ascites as unique sign of shunt infection by Propionibacterium acnes.
abstract: Propionibacterium acnes (P. acnes) has been associated with shunt infection. The signs of infection are mild. We report on a case of P. acnes shunt infection presenting with massive ascites as the unique sign of CSF infection. Shunt removal, antibiotic therapy and drenaige of ascites were performed with a rapid clinical recovery.
authors.affiliation: Institute of Neurosurgery, Catholic University, Rome. nicolamontanomd@yahoo.it
authors.forename: Nicola
authors.initials: N
authors.lastname: Montano
authors.forename: Carmelo
authors.initials: C
authors.lastname: Sturiale
authors.forename: Giovanna
authors.initials: G
authors.lastname: Paternoster
authors.forename: Liverana
authors.initials: L
authors.lastname: Lauretti
authors.forename: Eduardo
authors.initials: E
authors.lastname: Fernandez
authors.forename: Roberto
authors.initials: R
authors.lastname: Pallini
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001201:Ascites / Q000188:drug therapy / Q000209:etiology*; D020806:Central Nervous System Bacterial Infections / Q000150:complications* / Q000188:drug therapy; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D004866:Equipment Contamination; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy / Q000382:microbiology; D011425:Propionibacterium acnes; D013530:Surgical Wound Infection / Q000134:cerebrospinal fluid / Q000382:microbiology; D017334:Teicoplanin / Q000627:therapeutic use; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D017334:Teicoplanin