Shunt nephritis

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thumb|250px|right|Shunt_nephritis_is_caused_by_the_deposition_of_immune complexes, as shown in this illustration.]

Shunt nephritis is a rare disease of the kidney that can occur in patients being treated for hydrocephalus with a cerebral shunt. It usually results from an infected shunt that produces a long-standing blood infection, particularly by the bacterium "Staphylococcus epidermidis". Kidney disease results from an immune response that deposits immune complexes in the kidney. The most common signs and symptoms of the condition are blood and protein in the urine, anemia, and high blood pressure. Diagnosis is based on these findings in the context of characteristic laboratory values. Treatment includes antibiotics and the prompt removal of the infected shunt. Over half of individuals with shunt nephritis recover completely; most of the remainder have some degree of persistent kidney disease.

Epidemiology

Shunt nephritis is a rare condition affecting males and females of all ages. It occurs in approximately 0.7-2.3% of patients with shunt infections. Approximately 12% of ventriculoatrial shunts become infected, with "Staphylococcus epidermidis" being the infectious agent in 75% of cases.cite journal |author=Haffner D, Schindera F, Aschoff A, Matthias S, Waldherr R, Schärer K |title=The clinical spectrum of shunt nephritis |journal=Nephrol. Dial. Transplant. |volume=12 |issue=6 |pages=1143–8 |year=1997 |month=June |pmid=9198042 |doi= |url=http://ndt.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=9198042]

Pathophysiology

Shunt nephritis occurs when a shunt becomes infected with bacteria, most commonly "Staphylococcus epidermidis". Bacteria from this infected shunt seed the bloodstream, leading to blood infection (bacteremia). In response to long-standing infection (months to years), the body mounts an immune response that results in deposition of immune complexes in the kidney, leading to nephritis.

Clinical manifestations

The clinical presentation of shunt nephritis is variable, but the most common manifestations of shunt nephritis include blood in the urine, protein in the urine, anemia, and high blood pressure. Recurrent fever, enlarged liver and spleen, and a skin rash may also be present. Rarely, the major complaint may be arthritis.cite journal |author=Legoupil N, Ronco P, Berenbaum F |title=Arthritis-related shunt nephritis in an adult |journal=Rheumatology (Oxford) |volume=42 |issue=5 |pages=698–9 |year=2003 |month=May |pmid=12709554 |doi= |url=http://rheumatology.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=12709554]

Urinalysis typically demonstrates hematuria and proteinuria. Levels of the complement protein C3 are low, while levels of C-reactive protein and cryoglobulins may be modestly elevated. Blood cultures and cerebrospinal fluid cultures demonstrate "Staphylococcus epidermidis", a coagulase-negative species of "Staphylococcus". Biopsy of the kidney frequently demonstrates membranoproliferative glomerulonephritis, with deposits of C3, IgM, and IgG.

Treatment

Management is focused on removing the infectious source. The shunt is removed immediately and antibiotics are begun. The infected shunt, typically a ventriculoatrial shunt, may be replaced with a ventriculoperitoneal shunt.cite journal |author=Noiri E, Kuwata S, Nosaka K, "et al" |title=Shunt nephritis: efficacy of an antibiotic trial for clinical diagnosis |journal=Intern. Med. |volume=32 |issue=4 |pages=291–4 |year=1993 |month=April |pmid=8358118 |doi= |url=http://joi.jlc.jst.go.jp/JST.Journalarchive/internalmedicine1992/32.291?from=PubMed]

Prognosis

In one review, over half of individuals with shunt nephritis made a complete recovery. An additional 40% of individuals had persistent urine abnormalities or end-stage renal disease. Death occurred in 9%.

History

Shunt nephritis was first described by Black in 1965.cite journal |author=Black JA, Challacombe DN, Ockenden BG |title=Nephrotic syndrome associated with bacteraemia after shunt operations for hydrocephalus |journal=Lancet |volume=2 |issue=7419 |pages=921–4 |year=1965 |month=November |pmid=4165274 |doi= |url=] Early cases and most cases since then are associated with infections of shunts that connect the ventricular system of the brain to the atria of the heart (ventriculoatrial shunts). Less commonly, shunt nephritis has been reported to arise from infections of shunts connecting the ventricular system to the abdominal cavity (ventriculoperitoneal shunts).cite journal |author=Noe HN, Roy S |title=Shunt nephritis |journal=J. Urol. |volume=125 |issue=5 |pages=731–3 |year=1981 |month=May |pmid=7230350 |doi= |url=]

References