Possible shunt infection with Ureaplasma urealyticum in an ELBW preterm

  • Stefanie KaestnerEmail author
  • Marcus Thomé
  • Karin Stuebinger
  • Wolfgang Deinsberger
Letter to the Editor

Dear Editor:

This letter reports a case of an unusual causative agent of shunt infections. CSF shunt infections contribute to a tremendous burden of morbidity. Hydrocephalic children, in particular preterms, are known to be prone to shunt infections, with an infection rate up to 22%, immediate diagnosis and therapy is mandatory. The most causative pathogens are Staphylococci spp. but unusual pathogens also occur in this particular group of shunt patients. In a certain number of shunt infections, a causative agent could not be found. [2] Ureaplasma spp. and Mycoplasma spp. are frequent commensals, with low virulence, and regularly do not lead to invasive disease. [1] Preterms and newborns, however, are at risk to inflammatory responses due to these pathogens. Ureaplasma spp., in particular, are well known to cause meningitis and hydrocephalus following inflammation of the CNS, with a high prevalence in very low- and extremely low-birth-weight preterm infants (VLBW and ELBW). [5] We...


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with animals performed by any of the authors.

Statement of informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of NeurosurgeryKlinikum KasselKasselGermany
  2. 2.Kassel Medical SchoolUniversity of SouthamptonSouthamptonUK
  3. 3.Department of MicrobiologyKlinikum KasselKasselGermany
  4. 4.Department of General PediatricsKlinikum KasselKasselGermany

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