Does the presence of a ventriculoperitoneal shunt or history of cranial surgery increase the risk of bacterial meningitis?

Updated: Jul 16, 2019
  • Author: Rodrigo Hasbun, MD, MPH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

The presence of a ventriculoperitoneal shunt or a history of recent cranial surgery should be elicited. Patients with low-grade ventriculitis associated with a ventriculoperitoneal shunt may have a less dramatic presentation than those with acute bacterial meningitis, experiencing headache, nausea, minimal fever, and malaise. The presence of cochlear implants with a positioner has been associated with a higher risk of bacterial meningitis.


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