Inguinal Extrusion of a Ventriculoperitoneal Shunt

Background: Complications of ventriculoperitoneal (VP) shunts include migration into various anatomic compartments and even extrusion through tissue layers. Case Description: A 31-year-old female patient with a VP shunt presented with distal shunt tubing extruding through the skin at the level of the inguinal ligament. Shunt hardware was removed, and cultures grew Dermacoccus. The patient was treated with broad-spectrum antibiotics and underwent placement of a lumboperitoneal shunt. Conclusions: Dermacoccus is a gram-positive skin organism with rare human pathogenicity and not previously known to cause shunt infections. © 2020 Elsevier Inc.