Affiliations: Department of Neurosurgery, Leeds General Infirmary,
Leeds, UK | Department of Neuropathology, Leeds General Infirmary,
Leeds, UK
Note: [] Correspondence: Darach W. Crimmins, MD, Department of
Neurosurgery, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK.
Tel.: +44 113 2432799; Fax: +44 113 3928114; E-mail:
Darach.Crimmins@leedsth.nhs.uk
Abstract: Cerebral abscess is a rare complication of cerebrospinal fluid
shunts as are Gram-negative infections. We present a case of Gram-negative
cerebral abscess presenting 2 years following cerebrospinal fluid shunt
insertion in a child with cerebral palsy and multiple abdominal procedures. The
child presented with a 2-week history of nausea and low-grade pyrexia had
raised inflammatory makers. A cranial computed tomography scan did identify a
multiloculated ventricle with the tip of the proximal end of the
ventriculoperitoneal shunt confined within an abscess cavity. Treatment was by
excision of the abscess and a period of external drainage and antibiotics.