A 8-year old girl with a ventriculoatrial shunt presented with fever and gross hematuria. Staphylococcus epidermidis was cultured from blood. Light electron microscopic findings in this patients were characteristic of shunt nephritis and serum complement levels were low. After shunt removal, hydrocephalus was so severe that ventriculoperitoneal shunt revision was performed opposite Kocher's point: continuous antibiotic therapy resulted in normalization of the clinical symptoms. A review of the literature is included.