A patient on home hyperalimentation after a series of infections, developed a “shunt nephritis” not unlike the nephritis reported in patients with hydrocephalus undergoing ventriculoatriostomy. Permanent eradication of infection and reversal of kidney damage required removal of indwelling catheter.
Get full access to this article
View all access options for this article.
References
1.
Jeejeebhoy KN, Zohrab WJ, Langer B et al: Total parenteral nutrition at home for 23 months without complication and with good rehabilitation. Gastroenterology65:811, 1973.
2.
Broviac JW, Scribner BH: The artificial gut: two years' experience with total parenteral nutrition in the home. Gastroenterology62:727, 1972. (abst).
3.
Broviac JW, Cole JJ, Scribner BH: A silicone rubber atrial catheter for prolonged parenteral alimentation. Surg Gynecol Obstet136:602, 1973.
4.
Broviac JW, Scribner BH: Prolonged parenteral nutrition in the home. Surg Gynecol Obstet139:24, 1974.
5.
Shils ME, Wright WL, Turnbull A et al: Long-term parenteral nutrition through an arteriovenous shunt. N Engl J Med283:341, 1970.
6.
Bordos DC, Cameron JL: Successful long-term intravenous hyperalimentation in the hospital and at home. Arch Surg110:439, 1975.
7.
Scribner BH, Cole JJ, Christopher TG et al: Long-term total parenteral nutrition. JAMA212:457, 1970.
8.
Shils ME: A program for total parenteral nutrition at home. Am J Clin Nutr28:1429. 1975.
9.
Black JA, Challacombe DN, Ockenden BG: Nephrotic syndrome associated with bacteremia after shunt operations for hydrocephalus. Lancet2:921, 1965.
10.
Kaufman DB, McIntosh R: The pathogenesis of the renal lesion in a patient with streptococcal disease, infected ventriculoatrial shunt, cryoglobulinemia, and nephritis. Am J Med50:262. 1971.
11.
Rames L, Wise B, Goodman JR et al: Renal disease with staphylococcus albus bacteremia: a complication in ventriculoatrial shunts. JAMA212:1671. 1970.
12.
Stickler GB, Shin M H, Burke EC et al: Diffuse glomerulonephritis associated with infected ventriculoatrial shunts. E Engl J Med279:1077, 1968.
13.
Hansen MF: Nephritis complicating ventriculovascular shunts. Presented at the 35th Annual Meeting, Society for Pediatric Research, Philadelphia. Pennsylvania, May 1965.
14.
Holland N: Hypocomplementemic glomerulonephritis associated with micrococcus infection of ventriculoatrial shunt. Presented at the 37th Annual Meeting, Society for Pediatric Research. Atlantic City, New Jersey, April 1967.
15.
Northway JD, McAdams AJ, West CD: Sepsis, nephritis, and hypocomplementemia. Presented at the 37th Annual Meeting, Society for Pediatric Research, Atlantic City, New Jersey, April 1967.
16.
Meadow R: Shunt nephritis: renal disease associated with infected ventriculoatrial shunts. Dev Med Child Neurol15:83, 1973.
17.
Shimke RT, Black PH, Mark VH et al: Indolent staphylococcus albus or aureus bacteremia after ventriculoatriostomy: role of foreign body in its initiation and perpetuation. N Engl J Med264:264. 1961.
18.
Smith IM, Beals PD, Kingsbury KR et al: Observations on staphylococcus albus septicemia in mice and men. Arch Intern Med102:375, 1958.
19.
Ellis BW, Fielding LP, Stanbridge R de L et al: An algorithmic approach to the management of patients with caval catheters who develop fever. Presented at the International Conference on Parenteral Nutrition. Montpelier, France, 1975.
20.
Copeland EM, MacFayden BV, McGowan C et al: The use of hyperalimentation in patients with potential sepsis. Surg Gynecol Obstet138:377, 1974.
