Article ; Online: An unusual case of endotipsitis: persistent infection and migration to the right atrium of a transjugular intrahepatic portosystemic shunt (TIPS).
2024 Volume 43, Issue 3, Page(s) 623–626
Abstract: Endotipsitis is an underdiagnosed entity mainly because it requires a high initial level of suspicion. It should be considered in the differential diagnosis of persistent bacteremia in the cirrhotic patient with TIPS. Most cases are treated ... ...
Abstract | Endotipsitis is an underdiagnosed entity mainly because it requires a high initial level of suspicion. It should be considered in the differential diagnosis of persistent bacteremia in the cirrhotic patient with TIPS. Most cases are treated conservatively with a long-term antibiotherapy, due to the impossibility of surgical removal of the TIPS, except in a liver transplant or autopsy. The patient we present had endotipsitis that manifested as persistent bacteremia with thrombosis of the TIPS. Initially, conservative management with intravenous antibiotherapy was performed; however, due to mechanical complications caused by migration of the original endoprosthesis, it was decided to perform surgery. |
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MeSH term(s) | Humans ; Portasystemic Shunt, Transjugular Intrahepatic/adverse effects ; Persistent Infection ; Liver Transplantation/adverse effects ; Bacteremia ; Heart Atria |
Language | English |
Publishing date | 2024-01-17 |
Publishing country | Germany |
Document type | Case Reports ; Journal Article |
ZDB-ID | 603155-9 |
ISSN | 1435-4373 ; 0934-9723 ; 0722-2211 |
ISSN (online) | 1435-4373 |
ISSN | 0934-9723 ; 0722-2211 |
DOI | 10.1007/s10096-023-04742-2 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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