Shunt Nephritis and Pyogenic Spondylitis With a Positive PR3-ANCA Associated With Chronically Infected Ventriculoatrial Shunt

摘要

S hunt nephritis is a rare complication mostly described in the setting of chronic infection ofventriculoatrial (VA) shunts inserted for the treatmentof congenital or acquired hydrocephalus.1,2 The diagnosis of shunt nephritis is challenging and may beoverlooked. We report a case of successfully treatedshunt nephritis and pyogenic spondylitis with positiveantiproteinase 3 antineutrophil cytoplasmic antibody(PR3-ANCA) in a patient who presented with acutekidney injury.