Vp Shunt Meningitis

1 2 in chronic meningitis with hydrocephalus vp shunts malfunction more frequently.

Vp shunt meningitis. Factors associated with permanent ventriculoperitoneal vp shunt placement are poorly characterized. All vp shunt insertions took place in the national centre for paediatric neurosurgery. Clin infect dis 2002.

Clostridium perfringens has been recovered from infants with a ventriculoperitoneal shunt. These devices have dramatically reduced the morbidity and mortality rates associated with hydrocephalus. Use of ventriculoperitoneal shunts to treat uncontrollable intracranial hypertension in patients who have cryptococcal meningitis without hydrocephalus.

Early recognition and effective therapy are essential to recovery. In patients with infected ventriculoperitoneal shunts symptoms of peritonitis appear as the peritoneal inflammation becomes more severe and as fever anorexia and other signs and symptoms of an acute abdomen develop. Management of meningitis includes the use of antimicrobials effective against anaerobes that penetrate the blood brain barrier.

Table 1 compares the vp shunted infants with the non shunted infants. Recurrent shunt malfunction is a known complication after ventriculoperitoneal vp shunt surgeries. Pubmed google scholar.

Hydrocephalus palur grade iii and grade iv tubercular meningitis ventriculoperitoneal shunt introduction the indication and timing of surgical intervention for tubercular meningitis tbm with hydrocephalus tbmh remain controversial and only a few studies have tried to address this issue previously. Multiple organism meningitis was reported as a complication of ventriculoperitoneal and lumboperitoneal shunts that perforated the gastrointestinal tract. Increased intracranial pressure icp is an important complication of cryptococcal meningitis cm and impacts morbidity and mortality.

With low virulence organisms localizing signs of peritonitis may be confined to abdominal tenderness and or guarding.