Possible shunt infection with Ureaplasma urealyticum in an ELBW preterm
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.  Ureaplasma spp. and Mycoplasma spp. are frequent commensals, with low virulence, and regularly do not lead to invasive disease.  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).  We...
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
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.
- 5.Waites KB, Katz B, Schelonka RL (2005) Mycoplasmas and ureaplasmas as neonatal pathogens. Clin Microbiol Rev:757–789Google Scholar