[Recurrent enterococcal bacteremia associated with a transjugular intrahepatic protosystemic shunt].
Transjugular intrahepatic portosystemic shunts (TIPS) are an accepted technique for controlling the complications of portal hypertension. Although the incidence of TIPS-associated bacteremia appears to be low (2%), this complication has a high mortality. We report one case of recurrent enterococcal bacteremia associated with TIPS and regression of TIPS thrombus after antibiotherapy. The antibiotic regimen is similar to that given in bacterial endocardites.
Passeron
Amélie
A
Service de Médecine Interne, Hôpital Hôtel-Dieu Université Paris 5. amelie.passeron@hop.egp.ap-hop-paris.fr
Mihaïla-Amrouche
Liliana
L
Perreira Rocha
Elsa
E
Wyplosz
Benjamin
B
Capron
Loïc
L
D016470:Bacteremia / Q000209:etiology*; D016984:Enterococcus faecium; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects*; D012008:Recurrence