Shunt Nephritis: Efficacy of an Antibiotic Trial for Clinical Diagnosis

Eisei NOIRI; Shoji KUWATA; Kazuo NOSAKA; Akihide NAKAO; Shigeo TANIGUCHJ; Joji SEKI; Shu UWATOKO; Keiji SUZUKI; Masafumi FUKAGAWA; Toshihiro OKUDA; Kiyoshi KUROKAWA

doi:10.2169/internalmedicine.32.291

Eisei NOIRI, Shoji KUWATA, Kazuo NOSAKA, Akihide NAKAO, Shigeo TANIGUCHJ, Joji SEKI, Shu UWATOKO, Keiji SUZUKI, Masafumi FUKAGAWA, Toshihiro OKUDA, Kiyoshi KUROKAWA

Author information

Eisei NOIRI
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo
Shoji KUWATA
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo
Kazuo NOSAKA
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo
Akihide NAKAO
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo
Shigeo TANIGUCHJ
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo
Joji SEKI
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo
Shu UWATOKO
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo
Keiji SUZUKI
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo
Masafumi FUKAGAWA
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo
Toshihiro OKUDA
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo
Kiyoshi KUROKAWA
the First Department of Internal Medicine, Faculty of Medicine, the University of Tokyo

Keywords: coagulase negative staphylococcus, Japanese adult cases, membranoproliferative glomerulonephritis (MPGN), ampicillin (ABPC)

JOURNAL FREE ACCESS

1993 Volume 32 Issue 4 Pages 291-294

DOI https://doi.org/10.2169/internalmedicine.32.291

Details

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)

Corresponding author

Register with J-STAGE for free!