{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T13:58:57Z","timestamp":1769781537985,"version":"3.49.0"},"reference-count":36,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"22","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,11,25]]},"abstract":"\n BACKGROUND<\/jats:title>\n A 36-year-old female with a history of congenital hydrocephalus, treated with ventriculoperitoneal (VP) shunt placement at 3 months of age and a shunt revision at 9 years of age, presented with erythema, induration, and drainage of an abdominal incision through which the distal catheter of her VP shunt had been implanted many years prior. She had no recent risk factors for infection apart from a minor transvaginal gynecological procedure that involved hysteroscopy with dilation and curettage for uterine polyps.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n \n Abdominal wound cultures grew\n Cutibacterium acnes<\/jats:italic>\n ,\n Corynebacterium<\/jats:italic>\n species, and\n Mycobacterium chelonae<\/jats:italic>\n . She was managed with initial externalization, followed by complete explantation of her shunt system following a successful clamp trial; in tandem, the atypical polymicrobial infection was treated with a prolonged regimen of intravenous antibiotics followed by oral antibiotics and close monitoring of the wound, which healed appropriately.\n <\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Although the majority of shunt infections occur due to a characteristic set of organisms within an expected time frame, this case emphasizes the importance of a thorough workup and follow-up for shunt-treated patients with potential infections\u2014even when they fall outside the usual window or have an atypical presentation\u2014for the possibility of uncommon infecting organisms.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE24472<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case24472","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T13:04:53Z","timestamp":1732539893000},"source":"Crossref","is-referenced-by-count":0,"title":["Atypical delayed ventriculoperitoneal shunt infection following hysteroscopic polypectomy: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Shannan","family":"Bialek","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baylee","family":"Stevens","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherwin A.","family":"Tavakol","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Alkozah","sequence":"additional","affiliation":[{"name":"Departments of Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher S.","family":"Graffeo","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"J Neurosurg Pediatr","first-page":"391","article-title":"A new Hydrocephalus Clinical Research Network protocol to reduce cerebrospinal fluid shunt infection","volume":"17","author":"Kestle","year":"2016","unstructured":"Kestle JRWHolubkov RDouglas Cochrane D, et al. A new Hydrocephalus Clinical Research Network protocol to reduce cerebrospinal fluid shunt infection. J Neurosurg Pediatr. 2016;17(4):391-396."},{"issue":"7","key":"bib2","series-title":"Childs Nerv Syst","first-page":"692","article-title":"Cerebrospinal fluid shunt infection: risk factors and long-term follow-up","volume":"22","author":"Vinchon","year":"2006","unstructured":"Vinchon MDhellemmes P. Cerebrospinal fluid shunt infection: risk factors and long-term follow-up. Childs Nerv Syst. 2006;22(7):692-697."},{"issue":"4","key":"bib3","series-title":"Neuropediatrics","first-page":"169","article-title":"Late shunt infection: incidence, pathogenesis, and therapeutic implications","volume":"33","author":"Vinchon","year":"2002","unstructured":"Vinchon MLemaitre MPVall\u00e9e LDhellemmes P. Late shunt infection: incidence, pathogenesis, and therapeutic implications. 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A rare case of ventriculoperitoneal shunt co-infection with Brevibacterium and Corynebacterium minutissimum organisms. IDCases. 2023;34:e01920."},{"issue":"9","key":"bib10","series-title":"Brain Inj","first-page":"1223","article-title":"Cerebrospinal fluid shunt infection caused by Corynebacterium sp: case report and review","volume":"28","author":"Miura","year":"2014","unstructured":"Miura FKAndrade AFRandi BAAmato VSNicodemo AC. Cerebrospinal fluid shunt infection caused by Corynebacterium sp: case report and review. Brain Inj. 2014;28(9):1223-1225."},{"issue":"2","key":"bib11","series-title":"Infection","first-page":"251","article-title":"Mycobacterium abscessus ventriculoperitoneal shunt infection and review of the literature","volume":"44","author":"Montero","year":"2016","unstructured":"Montero JAAlrabaa SFWills TS. Mycobacterium abscessus ventriculoperitoneal shunt infection and review of the literature. 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