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Year : 2007  |  Volume : 2  |  Issue : 1  |  Page : 31-32

Unusual manifestations of infection following shunt: An interesting case summary


Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Correspondence Address:
Raj Kumar
Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow - 226 014, UP
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.32006

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One 3 years male child was operated for a large vermian pilocytic astrocytoma. He developed fever and features of raised intracranial pressure after 2 weeks to require external ventricular drainage and ventriculoperitoneal shunt subsequently. The cause of fever could not be established even after thorough repeated investigations in this child and he did not respond to changing antibiotics during next 2 weeks. He responded dramatically to empirical antituberculous chemotherapy, which was started on the basis of history of contact with tuberculosis. The role of uncommon shunt infection is discurred to explain the clinical scenario in this case.






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