Glomerulonephritis Associated with Cerebrospinal Fluid Shunt
Published
May 25, 2016
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Abstract
Shunt nephritis is an immune complex-mediated
glomerulonephritis, with deposits in the glomerular
capillaries which saturate the reticuloendothelial
system, causing activation of the
complement cascade and chronic inflammatory
which leads to renal injury. The clinical diagnosis
of infection is not easy, it is caused by low
pathogenic germs that cause chronic infection,
and however, the cultures can be negative. We
present a case of shunt - nephritis, after two
years of atrial ventricle valve placement with
confirmation by renal biopsy and subsequent
resolution after valve removal. The cultures of
patient and valve were negative.
Keywords
glomerulonefritis, derivaciones del líquido cefalorraquídeoGlomerulonephritis, cerebrospinal fluid shunts
References
1. Haffner D, Schindera F, Aschoff A, Matthias
S, Waldherr R, Schärer K. The clinical
spectrum of shunt nephritis. Nephrol
Dial Transplant. 1997;12(6):1143-8.
2. Duarte J, Delgado V. Mora JM,
D’Achiardi R. Nefritis del shunt: reporte
de un caso y revisión de la literatura.
Univ Med. 1994;35(4):127-9.
3. Black JA, Chaacombe DN, Ockenden
BG. Nephrotic syndrome associated with
bacteraemia after shunt operations for
hydro cephalus. Lancet. 1965;2:921-4.
4. Narchi H, Taylor R, Azmy AF, Murphy
AV, Beattie TJ. Shunt nephritis. J Pediatr
Surg. 1988;23:839-41.
5. Iwata Y, Ohta S, Kawai K, Yamahana J,
Sugimori H, Ishida Y, et al. Shunt nephritis
with positive titers for ANCA specific
for proteinase 3. Am J Kidney Dis.
2004;43(5):e11-6.
6. Vella J, Carmody M, Campbell E, Browne
O, Doyle G, Donohoe J. Glomerulonephritis
after ventriculo-atrial shunt. QJM.
1995;88:911-8.
7. Arze RS, Rashid H, Morley R, Ward MK,
Kerr DN. Shunt nephritis: Report of two
cases and review of the literature. Clin
Nephrol. 1983;19:48-53.
8. Rifkinson-Mann S, Rifkinson N, Leong
T. B. S. Shunt nephritis. J Neurosurg.
1991;74:656-9.
9. Kiryluk K, Preddie D, D’Agati VD, Isom
R. Young man with Propionibacterium
acnes-induced shunt nephritis. Kidney
Int. 2008 Jun;73(12):1434-40.
10. Parra V, Medina P, Valderrama S, Gualtero
S. Nefritis del shunt. Rev Colomb
Nefrol. 2014;1(1):48-52.
11. Castellote E, Romero R, Bonet J. Nefritis
del shunt: glomerulonefritis
asociada a infección de válvula vetriculoatrial.
Un reto terapéutico. Nefrología.
1992;12(4):356-9.
12. Haffner D, Schindera F, Aschoff A, Matthias
S, Waldherr R, Schärer K. The clinical
spectrum of shunt nephritis. Nephrol
Dial Transplant. 1997;12(6):1143-8.
13. Legoupil N, Ronco P, Berenbaum F. Arthritis-
related shunt nephritis in an adult.
Rheumatology 2003;42:698-9.
14. Arze RS, Rashid H, Morley R, Ward MK,
Kerr DNS. Shunt nephritis. Report of two
cases and review of the literature. Clin
Nephrol. 1983;19:48-53.
S, Waldherr R, Schärer K. The clinical
spectrum of shunt nephritis. Nephrol
Dial Transplant. 1997;12(6):1143-8.
2. Duarte J, Delgado V. Mora JM,
D’Achiardi R. Nefritis del shunt: reporte
de un caso y revisión de la literatura.
Univ Med. 1994;35(4):127-9.
3. Black JA, Chaacombe DN, Ockenden
BG. Nephrotic syndrome associated with
bacteraemia after shunt operations for
hydro cephalus. Lancet. 1965;2:921-4.
4. Narchi H, Taylor R, Azmy AF, Murphy
AV, Beattie TJ. Shunt nephritis. J Pediatr
Surg. 1988;23:839-41.
5. Iwata Y, Ohta S, Kawai K, Yamahana J,
Sugimori H, Ishida Y, et al. Shunt nephritis
with positive titers for ANCA specific
for proteinase 3. Am J Kidney Dis.
2004;43(5):e11-6.
6. Vella J, Carmody M, Campbell E, Browne
O, Doyle G, Donohoe J. Glomerulonephritis
after ventriculo-atrial shunt. QJM.
1995;88:911-8.
7. Arze RS, Rashid H, Morley R, Ward MK,
Kerr DN. Shunt nephritis: Report of two
cases and review of the literature. Clin
Nephrol. 1983;19:48-53.
8. Rifkinson-Mann S, Rifkinson N, Leong
T. B. S. Shunt nephritis. J Neurosurg.
1991;74:656-9.
9. Kiryluk K, Preddie D, D’Agati VD, Isom
R. Young man with Propionibacterium
acnes-induced shunt nephritis. Kidney
Int. 2008 Jun;73(12):1434-40.
10. Parra V, Medina P, Valderrama S, Gualtero
S. Nefritis del shunt. Rev Colomb
Nefrol. 2014;1(1):48-52.
11. Castellote E, Romero R, Bonet J. Nefritis
del shunt: glomerulonefritis
asociada a infección de válvula vetriculoatrial.
Un reto terapéutico. Nefrología.
1992;12(4):356-9.
12. Haffner D, Schindera F, Aschoff A, Matthias
S, Waldherr R, Schärer K. The clinical
spectrum of shunt nephritis. Nephrol
Dial Transplant. 1997;12(6):1143-8.
13. Legoupil N, Ronco P, Berenbaum F. Arthritis-
related shunt nephritis in an adult.
Rheumatology 2003;42:698-9.
14. Arze RS, Rashid H, Morley R, Ward MK,
Kerr DNS. Shunt nephritis. Report of two
cases and review of the literature. Clin
Nephrol. 1983;19:48-53.
How to Cite
Córdoba, J. P., Pinto Ramírez, J. L., González González, C. A., González, M. P., García Padilla, P. karina, Contreras Villamizar, K. M., & Hurtado Iriarte, M. E. (2016). Glomerulonephritis Associated with Cerebrospinal Fluid Shunt. Universitas Medica, 57(1), 108–114. https://doi.org/10.11144/Javeriana.umed57-1.gadl
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Section
Case Reports