Spondylodiscitis associated with recurrent Serratia bacteremia due to a transjugular intrahepatic portosystemic shunt (TIPS): a case report

We report a case of spondylodiscitis caused by multiresistant Serratia marcescens in a cirrhotic patient who had several Serratia bacteremias after the placement of a transjugular intrahepatic portosystemic shunt (TIPS) device. We concluded that an endovascular stent that can not be removed makes ma...

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Bibliographic Details
Published in:The Brazilian journal of infectious diseases 2007-10, Vol.11 (5), p.525-527
Main Authors: Marques, Nuno, Sá, Rosa, Coelho, Filomena, da Cunha, Saraiva, Meliço-Silvestre, A
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Bacteremia - diagnosis
Bacteremia - drug therapy
Bacteremia - microbiology
Discitis - diagnosis
Discitis - drug therapy
Discitis - microbiology
Humans
Imipenem - therapeutic use
INFECTIOUS DISEASES
Male
Middle Aged
Portasystemic Shunt, Transjugular Intrahepatic - adverse effects
recurrent bacteremia
Serratia
Serratia Infections - diagnosis
Serratia Infections - drug therapy
Serratia marcescens
Serratia marcescens - isolation & purification
spondylodiscitis
TIPS
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Summary:We report a case of spondylodiscitis caused by multiresistant Serratia marcescens in a cirrhotic patient who had several Serratia bacteremias after the placement of a transjugular intrahepatic portosystemic shunt (TIPS) device. We concluded that an endovascular stent that can not be removed makes management of recurrent bacteremia difficult. Furthermore, back pain due to bacteremia is indicative of spondylodiscitis. Serratia marcescens can be an aggressive pathogen, causing spinal infection.
ISSN:1413-8670
1678-4391
1413-8670
DOI:10.1590/S1413-86702007000500016