Procalcitonin as an early diagnostic marker for ventriculoperitoneal shunt infections

Ryosuke Tomio, Takenori Akiyama, Shunsuke Shibao, Kazunari Yoshida

研究成果: Review article査読

8 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)433-436
ページ数4
ジャーナルSurgical Infections
14
5
DOI
出版ステータスPublished - 2013 10 1

ASJC Scopus subject areas

  • 外科
  • 微生物学(医療)
  • 感染症

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