腦室腹膜腔引流管部分體外移位造成頭皮葡萄球菌腹腔感染：病例報告

Partial Extracorporeal Migration of Ventriculoperitoneal Shunt Causing Staphylococcus Capitis Abdominal Infection: A Case Report

植入後的腦室腹膜腔引流管移位，是這個常見手術少有的併發症；可以沒有症狀，或是以引流管感染、阻塞等症狀來表現。頭皮葡萄球菌是人類頭皮正常菌叢的一部份，但是可以附著在醫療器材上造成感染。我們報告一個腦室腹膜腔引流管部分體外移位、造成頭皮葡萄球菌腹腔感染的罕見病例，以手術移除引流管加上術後投予抗生素成功治癒，並討論引流管移位與頭皮葡萄球菌感染的可能機轉與治療策略。

Migration of ventriculoperitoneal shunt from its intended position is a relatively uncommon complication of this common surgical procedure. It may be asymptomatic or symptomatic, presenting with infection, obstruction or other types of shunt dysfunction. Staphylococcus capitis is part of the normal flora of the human scalp, but can adhere to medical devices and cause infections. Herein, we report a rare case of shunt-related S. capitis abdominal infection successfully treated medically and surgically. Possible pathogenesis and treatment strategies for shunt migration and S. capitis infection were reviewed.