Spondylodiscitis associated with recurrent serratia bacteremia due to a Transjugular Intrahepatic Portosystemic Shunt (TIPS): A case report

Abstract

We report a case of spondylodiscitis caused by multiresistant Serratia marcescens in a cirrhotic patient who had several Serratia bacterenaias after the placement of a transjugular intrahepatic portosystemic shunt (TIPS) device. We concluded that an endovascular stent that can not be removed makes management of recurrent bacteremia difficult. Furthermore, back pain due to bacteremia is indicative of spondylodiacitis. Serratia marcescens can be an aggressive pathogen, causing spinal infection. © 2007 by The Brazilian Journal of Infectious Diseases and Contexto Publishing. All rights reserved.