An unusual case of endotipsitis : persistent infection and migration to the right atrium of a transjugular intrahepatic portosystemic shunt (TIPS)
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:43 |
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| Enthalten in: |
European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology - 43(2024), 3 vom: 01. März, Seite 623-626 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Calpena-Martínez, Silvia [VerfasserIn] |
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| Links: |
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| Themen: |
Bacteremia |
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| Anmerkungen: |
Date Completed 07.03.2024 Date Revised 07.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s10096-023-04742-2 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM367218615 |
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| 245 | 1 | 3 | |a An unusual case of endotipsitis |b persistent infection and migration to the right atrium of a transjugular intrahepatic portosystemic shunt (TIPS) |
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| 520 | |a © 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bacteremia | |
| 650 | 4 | |a Endotipsitis | |
| 650 | 4 | |a Migration | |
| 650 | 4 | |a Right atrium | |
| 650 | 4 | |a TIPS | |
| 700 | 1 | |a Carrasco-Antón, Nerea |e verfasserin |4 aut | |
| 700 | 1 | |a Cleary-Martín, Catalina |e verfasserin |4 aut | |
| 700 | 1 | |a Hernández-Estefanía, Rafael |e verfasserin |4 aut | |
| 700 | 1 | |a Esteban, Jaime |e verfasserin |4 aut | |
| 700 | 1 | |a Cabello-Úbeda, Alfonso |e verfasserin |4 aut | |
| 700 | 1 | |a Petkova-Saiz, Elizabet |e verfasserin |4 aut | |
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