Shunt Nephritis, A Diagnosis to Consider in the Pediatric Population. A Case report
DOI:
https://doi.org/10.17533/udea.iatreia.262Keywords:
Acute Kidney Injury, Cerebrospinal Fluid Shunts, Glomerulonephritis, HematuriaAbstract
Shunt nephritis is a rare complication that occurs in patients with infected ventricular shunts. It presents symptoms such as hematuria, fever, hypertension, hepatosplenomegaly, and in some cases, may be associated with skin rash and central nervous system involvement. Diagnosis can often be delayed due to nonspecific symptomatology, and treatment consists of antibiotic therapy and removal of the ventricular shunt. We describe the case of a seven-year-old patient with sickle cell trait, Dandy-Walker syndrome, and a ventriculoatrial shunt (VAS), who presented with recurrent febrile episodes, severe anemia, persistent microscopic hematuria, and acute kidney injury. Timely recognition of the clinical presentation of this complication is crucial for achieving better renal outcomes.
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