[Infection of a cerebrospinal fluid shunt system by Bacillus circulans and XXXX ].

@entity1 @entity28557 @entity799 @entity19 @entity75 @entity1219 @entity3524 @entity281 @entity1215
A two episodes case of CSF @entity281 due to B. circulans and @entity28557 is presented. B. circulans was first isolated from 4 blood cultures and CSF (shunt valve tap). The @entity1 showed a @entity75 syndrome reversible with antibiotic treatment. Lethal toxin production was demonstrated for the B. circulans strain in a @entity19 model. This strain was found to be a variant of Gordon's description as it produced urease and was tolerant to 7% @entity1219 . The @entity1 recovered after @entity3524 , @entity799 and @entity1215 treatment. A second @entity281 due to @entity28557 was detected two months later. The shunt system was removed due to obstruction and a scanning electron microscopy study was performed. Confluent masses of white blood cells and rods were observed on the inner surface of the catheter. As for as we know, this is the first case of @entity1 @entity281 due to @entity28557 .
