Journal article
Endotipsitis: a rare case of endovascular infection with ESBL Klebsiella pneumoniae
BMJ case reports, Vol.13(4), p.e233972
04/27/2020
DOI: 10.1136/bcr-2019-233972
PMCID: PMC7213698
PMID: 32345585
Abstract
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.
Details
- Title: Subtitle
- Endotipsitis: a rare case of endovascular infection with ESBL Klebsiella pneumoniae
- Creators
- Andrei Schwartz - University of Iowa Hospitals and ClinicsAayushi Garg - University of IowaGiselle Statz - University of IowaJustin Smock - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- BMJ case reports, Vol.13(4), p.e233972
- DOI
- 10.1136/bcr-2019-233972
- PMID
- 32345585
- PMCID
- PMC7213698
- ISSN
- 1757-790X
- eISSN
- 1757-790X
- Language
- English
- Date published
- 04/27/2020
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984359866702771
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