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. 1991 Mar;50(3):182–183. doi: 10.1136/ard.50.3.182

Transient arthritis with positive tests for rheumatoid factor as presenting sign of shunt nephritis.

E J ter Borg 1, M H Van Rijswijk 1, C G Kallenberg 1
PMCID: PMC1004371  PMID: 2015013

Abstract

Shunt nephritis is a rare complication of a chronically infected ventriculoatrial shunt. A 17 year old boy is described, with arthritis in both ankles and positive rheumatoid factor tests, who presented with symptoms of shunt nephritis. Blood cultures were positive for Staphylococcus epidermidis. The patient recovered completely after removal of the shunt and antibiotic treatment. Shunt nephritis should be considered in patients with a ventriculoatrial shunt presenting with arthritis, and the arthritis may be an early indicator of an infected ventriculoatrial shunt.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aelion J. A., Pinals R. S. Arthritis associated with ventriculoatrial shunt. J Rheumatol. 1986 Jun;13(3):641–642. [PubMed] [Google Scholar]
  2. Arze R. S., Rashid H., Morley R., Ward M. K., Kerr D. N. Shunt nephritis: report of two cases and review of the literature. Clin Nephrol. 1983 Jan;19(1):48–53. [PubMed] [Google Scholar]
  3. Kaufman D. B., McIntosh R. The pathogenesis of the renal lesion in a patient with streptococcal disease, infected ventriculoatrial shunt, cryogobulinemia and nephritis. Am J Med. 1971 Feb;50(2):262–268. doi: 10.1016/0002-9343(71)90155-0. [DOI] [PubMed] [Google Scholar]
  4. Peeters W., Mussche M., Becaus I., Ringoir S. Shunt nephritis. Clin Nephrol. 1978 Mar;9(3):122–125. [PubMed] [Google Scholar]
  5. Pinals R. S., Tinnessen W. W., Jr Shunt arthritis. J Pediatr. 1977 Oct;91(4):681–681. doi: 10.1016/s0022-3476(77)80535-0. [DOI] [PubMed] [Google Scholar]
  6. Schoenbaum S. C., Gardner P., Shillito J. Infections of cerebrospinal fluid shunts: epidemiology, clinical manifestations, and therapy. J Infect Dis. 1975 May;131(5):543–552. doi: 10.1093/infdis/131.5.543. [DOI] [PubMed] [Google Scholar]
  7. Strife C. F., McDonald B. M., Ruley E. J., McAdams A. J., West C. D. Shunt nephritis: the nature of the serum cryoglobulins and their relation to the complement profile. J Pediatr. 1976 Mar;88(3):403–413. doi: 10.1016/s0022-3476(76)80254-5. [DOI] [PubMed] [Google Scholar]

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