Spondylodiscitis associated with recurrent Serratia bacteremia due to a transju...

• Author(s): Marques, N ; Sá, R ; Coelho, F ; Saraiva da Cunha, JG ; Meliço-Silvestre, A
• Date: 2009
• Persistent ID: http://hdl.handle.net/10400.4/861
• Origin: Repositório do Centro Hospitalar e Universitário de Coimbra
• Subject(s): Bacteriemia; Infecções por Serratia; Discite; Shunt Porto-Sistémico Intra-Hepático Transjugular
• Document Type: Article
• Language: English

Description

We report a case of spondylodiscitis caused by multiresistant Serratia marcescens in a cirrhotic patient who had several Serratia bacteremias 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 spondylodiscitis. Serratia marcescens can be an aggressive pathogen, causing spinal infection.