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Endotipsitis in an Immunocompetent Patient With Lactobacillus Bacteremia

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Journal Cureus
Date 2023 Feb 8
PMID 36751240
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Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure commonly performed to decompress portal venous pressure since the early 1990s. Endotipsitis, which refers to persistent bacteremia caused by endovascular infection of the TIPS stent, is a rare but serious complication of this procedure. Very few cases of endotipsitis have been reported worldwide. We report the case of an immunocompetent patient diagnosed with endotipsitis, an atypical risk factor for  infection. This case report adds to the literature on underreported complications of TIPS, highlighting an urgent need for introducing clinical practice guidelines regarding the definition, diagnosis, and treatment of endotipsitis.

Citing Articles

Recurrent Klebsiella pneumoniae Bacteremia Due to Endotipsitis.

Everett S, Alejo A, Tatar K, Myers J Cureus. 2023; 15(5):e39259.

PMID: 37342733 PMC: 10278668. DOI: 10.7759/cureus.39259.

References
1.
Tommasi C, Equitani F, Masala M, Ballardini M, Favaro M, Meledandri M . Diagnostic difficulties of Lactobacillus casei bacteraemia in immunocompetent patients: a case report. J Med Case Rep. 2008; 2:315. PMC: 2566577. DOI: 10.1186/1752-1947-2-315. View

2.
Darrow A, Gaba R, Lokken R . Transhepatic Revision of Occluded Transjugular Intrahepatic Portosystemic Shunt Complicated by Endotipsitis. Semin Intervent Radiol. 2019; 35(5):492-496. PMC: 6363548. DOI: 10.1055/s-0038-1676092. View

3.
Sanyal A, Reddy K . Vegetative infection of transjugular intrahepatic portosystemic shunts. Gastroenterology. 1998; 115(1):110-5. DOI: 10.1016/s0016-5085(98)70371-3. View

4.
Suhocki P, Lungren M, Kapoor B, Kim C . Transjugular intrahepatic portosystemic shunt complications: prevention and management. Semin Intervent Radiol. 2015; 32(2):123-32. PMC: 4447874. DOI: 10.1055/s-0035-1549376. View

5.
Niyas V, Keri V, Kumar P . Endotipsitis: An Underdiagnosed Complication of Transjugular Intrahepatic Portosystemic Shunts. J Clin Exp Hepatol. 2022; 12(1):222-224. PMC: 8766577. DOI: 10.1016/j.jceh.2021.02.009. View