Endotipsitis: a rare case of endovascular infection with ESBL
Anti-Bacterial Agents
/ therapeutic use
Bacteremia
/ microbiology
Cholangitis, Sclerosing
/ complications
Esophageal and Gastric Varices
/ etiology
Fatty Liver
/ complications
Hematemesis
/ etiology
Humans
Klebsiella Infections
/ drug therapy
Klebsiella pneumoniae
Liver Cirrhosis
/ complications
Male
Middle Aged
Portasystemic Shunt, Transjugular Intrahepatic
/ adverse effects
nosocomial infections
radiology
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
27 Apr 2020
27 Apr 2020
Historique:
entrez:
30
4
2020
pubmed:
30
4
2020
medline:
6
1
2021
Statut:
epublish
Résumé
Endotipsitis is a vegetative endovascular infection of a transjugular intrahepatic portosystemic shunt (TIPS). There is currently no uniformly accepted diagnostic criterion, and most cases are diagnosed by clinical diagnosis of recurrent bacteraemia in patients with TIPS and no identifiable source after appropriate investigation. We present a case of 62-year-old man in whom endotipsitis was suspected clinically after emergent TIPS placement complicated by TIPS thrombosis, need for TIPS revision and recurrent bacteraemia. The diagnosis was confirmed using an Indium-111-labelled leucocyte scan (tagged white blood cell scan). This case highlights the potential risks of endotipsitis with TIPS procedures and provides insight into the utilisation of an old diagnostic tool in a new diagnostic role.
Identifiants
pubmed: 32345585
pii: 13/4/e233972
doi: 10.1136/bcr-2019-233972
pmc: PMC7213698
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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