Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
Shunt Nephritis: Efficacy of an Antibiotic Trial for Clinical Diagnosis
Eisei NOIRIShoji KUWATAKazuo NOSAKAAkihide NAKAOShigeo TANIGUCHJJoji SEKIShu UWATOKOKeiji SUZUKIMasafumi FUKAGAWAToshihiro OKUDAKiyoshi KUROKAWA
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1993 Volume 32 Issue 4 Pages 291-294

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Abstract

Coagulase negative staphylococcus, a normal skin flora, is especially nosopoietic under shunt management, because coagulase negative staphylococcus sometimes forms a biofilm around itself at catheter tips in vivo, which shields the organism from the effects of antibiotics. But it is difficult to distinguish this pathogen from a possible confounding contamination of a blood culture. In this article, we report a case, and discuss how a patient with suspected shunt nephritis should be examined and treated. In addition, to further histological and prognostic interpretation, we review the previously reported cases of shunt nephritis in Japanese adults.
(Internal Medicine 32: 291-294, 1993)

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© The Japanese Society of Internal Medicine
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