Case report of a child with shunt nephritis as the manifestation of systemic lupus erythematosus
10.3760/cma.j.cn101070-20221203-01359
- VernacularTitle:系统性红斑狼疮样表现的分流性肾炎1例
- Author:
Sijie ZHU
1
;
Panli LIAO
;
Lili LIU
;
Xiaowen WANG
Author Information
1. 江汉大学医学院，武汉 430056
- Keywords:
Shunt nephritis;
Ventricular shunt;
Systemic lupus erythematosus;
Hydrocephalus
- From:
Chinese Journal of Applied Clinical Pediatrics
2023;38(10):779-781
- CountryChina
- Language:Chinese
-
Abstract:
To retrospectively analyze the clinical data of a case of shunt nephritis as the manifestation of systemic lupus erythematosus (SLE) admitted to the Department of Nephrology, Wuhan Children′s Hospital in November 2019, and to analyze its clinical characteristics and diagnosis and treatment through literature review.A 11-year-old female child was diagnosed as SLE for fatigue after exercise, onset of gross hematuria, auxiliary detection of anemia, hematuria albuminuria, hypocomplementemia, positive test for the antinuclear antibody, positive test for anti-human globulin, and hyperplastic lesions detected by renal pathology.However, immunosuppressive therapy was not effective.Considering the previous history of congenital hydrocephalus and ventricular and atrial shunt and through literature review, the patient was finally diagnosed was shunt nephritis.After active anti-infection and ventriculoatrial shunt to ventriculoperitoneal shunt, the symptoms were relieved.Shunt nephritis is a rare complication caused by ventricle shunt tract infection.Early recognition and treatment can avoid misdiagnosis and improve prognosis.
