The treatment of Candida albicans shunt infections

Cerebrospinal fluid shunting procedures are performed for the treatment of hydrocephalus. Infection of ventriculoperitoneal shunts may create significant clinical management issues in these patients. The majority of these infections are bacterial, but occasionally a Candida albicans shunt infection...

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Bibliographic Details
Published inChild's nervous system Vol. 16; no. 1; pp. 4 - 7
Main Authors MURPHY, K, BRADLEY, J, JAMES, H. E
Format Journal Article
LanguageEnglish
Published Berlin Springer 01.01.2000
Subjects
Amphotericin B - administration & dosage
Antifungal Agents - administration & dosage
Biological and medical sciences
Candida albicans - drug effects
Candida albicans - isolation & purification
Candidiasis - diagnosis
Candidiasis - drug therapy
Cerebrospinal Fluid - microbiology
Child, Preschool
Device Removal
Diagnosis, Differential
Dose-Response Relationship, Drug
Drug Administration Schedule
Female
Follow-Up Studies
Human mycoses
Humans
Hydrocephalus - surgery
Infant
Infant, Newborn
Infectious diseases
Injections, Intraventricular
Medical sciences
Mycoses
Mycoses of the nervous system
Recurrence
Reoperation
Ventriculoperitoneal Shunt
Human
Candida albicans
Ventriculoperitoneal
Nervous system diseases
Candidiasis
Mycosis
Bibliographic survey
Cerebrospinal fluid
Cerebral disorder
Fungi
Infection
Case study
Treatment
Bypass
Surgery
Central nervous system disease
Fungi Imperfecti
Hydrocephaly
Child
Thallophyta
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Summary:Cerebrospinal fluid shunting procedures are performed for the treatment of hydrocephalus. Infection of ventriculoperitoneal shunts may create significant clinical management issues in these patients. The majority of these infections are bacterial, but occasionally a Candida albicans shunt infection may occur. We report two patients who acquired Candida albicans shunt infection and discuss their clinical presentation, management, and successful outcome. The treatment with or without removal of the shunt and the correct dosage and route of administration of the antifungal agents is not well documented. The dilemma of treatment of Candida albicans shunt infections in these patients and review of the limited literature on this subject are the subjects of this report.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0256-7040
1433-0350
DOI:10.1007/s003810050002