Abstract
Background: Procalcitonin (PCT) has been considered a more reliable marker than others because of its specificity for bacterial infection. Methods: Case report and review of the literature. Results: A 50-year-old male was diagnosed with subarachnoid hemorrhage, intraventricular hemorrhage, and intracerebral hemorrhage. We performed a ruptured aneurysm clipping and left unilateral external ventricular drainage. We also performed ventriculoperitoneal (VP) shunt placement in the course; however, VP shunt infection was indicated by fever, increased C-reactive protein concentration and leukocytosis. The cerebrospinal fluid culture showed methicillin-resistant Staphylococcus epidermidis but the serum PCT concentration was quite low. Conclusions: Although PCT is considered a more reliable serological marker of bacterial meningitis in several reports, the serum PCT concentration did not reflect the bacterial VP shunt infection that was present in our case.
| Original language | English |
|---|---|
| Pages (from-to) | 433-436 |
| Number of pages | 4 |
| Journal | Surgical Infections |
| Volume | 14 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2013 Oct 1 |
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ASJC Scopus subject areas
- Surgery
- Infectious Diseases
- Microbiology (medical)
Cite this
Procalcitonin as an early diagnostic marker for ventriculoperitoneal shunt infections. / Tomio, Ryosuke; Akiyama, Takenori; Shibao, Shunsuke; Yoshida, Kazunari.
In: Surgical Infections, Vol. 14, No. 5, 01.10.2013, p. 433-436.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Procalcitonin as an early diagnostic marker for ventriculoperitoneal shunt infections
AU - Tomio, Ryosuke
AU - Akiyama, Takenori
AU - Shibao, Shunsuke
AU - Yoshida, Kazunari
PY - 2013/10/1
Y1 - 2013/10/1
N2 - Background: Procalcitonin (PCT) has been considered a more reliable marker than others because of its specificity for bacterial infection. Methods: Case report and review of the literature. Results: A 50-year-old male was diagnosed with subarachnoid hemorrhage, intraventricular hemorrhage, and intracerebral hemorrhage. We performed a ruptured aneurysm clipping and left unilateral external ventricular drainage. We also performed ventriculoperitoneal (VP) shunt placement in the course; however, VP shunt infection was indicated by fever, increased C-reactive protein concentration and leukocytosis. The cerebrospinal fluid culture showed methicillin-resistant Staphylococcus epidermidis but the serum PCT concentration was quite low. Conclusions: Although PCT is considered a more reliable serological marker of bacterial meningitis in several reports, the serum PCT concentration did not reflect the bacterial VP shunt infection that was present in our case.
AB - Background: Procalcitonin (PCT) has been considered a more reliable marker than others because of its specificity for bacterial infection. Methods: Case report and review of the literature. Results: A 50-year-old male was diagnosed with subarachnoid hemorrhage, intraventricular hemorrhage, and intracerebral hemorrhage. We performed a ruptured aneurysm clipping and left unilateral external ventricular drainage. We also performed ventriculoperitoneal (VP) shunt placement in the course; however, VP shunt infection was indicated by fever, increased C-reactive protein concentration and leukocytosis. The cerebrospinal fluid culture showed methicillin-resistant Staphylococcus epidermidis but the serum PCT concentration was quite low. Conclusions: Although PCT is considered a more reliable serological marker of bacterial meningitis in several reports, the serum PCT concentration did not reflect the bacterial VP shunt infection that was present in our case.
UR - http://www.scopus.com/inward/record.url?scp=84887897231&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84887897231&partnerID=8YFLogxK
U2 - 10.1089/sur.2012.087
DO - 10.1089/sur.2012.087
M3 - Article
C2 - 23862561
AN - SCOPUS:84887897231
VL - 14
SP - 433
EP - 436
JO - Surgical Infections
JF - Surgical Infections
SN - 1096-2964
IS - 5
ER -