Recurrent Klebsiella pneumoniae Bacteremia Due to Endotipsitis

Transjugular intrahepatic portosystemic shunt (TIPS) procedures are commonly performed in patients with cirrhosis to decrease the pressure in the portal system. An unusual complication of this procedure is endotipsitis, an infection of the shunt/stent with resultant sustained bacteremia caused by ve...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-05, Vol.15 (5), p.e39259
Main Authors: Everett, Scott, Alejo, Andrew L, Tatar, Katherine I, Myers, Joseph P
Format: Article
Language:English
Subjects:
Abdomen
Alcohol use
Antibiotics
Ascites
Case reports
Catheters
Drug resistance
Endocarditis
Esophagus
Gastroenterology
General Surgery
Hematemesis
Infections
Infectious Disease
Liver cirrhosis
Liver transplants
Mortality
Pathogens
Patients
Pneumonia
Tomography
Ultrasonic imaging
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Transjugular intrahepatic portosystemic shunt (TIPS) procedures are commonly performed in patients with cirrhosis to decrease the pressure in the portal system. An unusual complication of this procedure is endotipsitis, an infection of the shunt/stent with resultant sustained bacteremia caused by vegetation within the TIPS. The most commonly associated pathogens include staphylococci, enterococci, streptococci, and enteric Gram-negative bacilli. We present a patient who developed endotipsitis due to and presented with refractory bacteremia. Our patient had a progressively worsening clinical picture and after recognition of endotipsitis was transferred to another facility for liver transplantation and removal of the TIPS. Rapid diagnosis of endotipsitis in the setting of refractory bacteremia is essential to patient survival.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.39259