Background: Iatrogenic meningitis is an important complication in neurosurgery. This infection is not common. This paper presents the first report of recurrent shunt meningitis caused by drug resistant Enterococcus fecalis in Iran.

Case report: We report a case with recurrent shunt meningitis caused by Enteroccocus fecalis in a 9-year old girl with ventriculoperitoneal shunt which did not recover by antibiotic therapy until the removal of the infected shunt.

Discussion and Conclusion: Patients with hydrocephalus who are treated with ventriculoperitoneal shunts are susceptible to bacterial infections. The rate of this nosocomial infection varies from 2% to 22%. It is suggested to pay more attention to symptoms of CNS infections among patients with cerebrospinal fluid drainage.