{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:35:53Z","timestamp":1762868153910,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,4,5]]},"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2019-233972","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T05:25:28Z","timestamp":1588051528000},"page":"e233972","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Endotipsitis: a rare case of endovascular infection with ESBL <i>Klebsiella pneumoniae<\/i>"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1061-3858","authenticated-orcid":false,"given":"Andrei","family":"Schwartz","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aayushi","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giselle","family":"Statz","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Smock","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,4,27]]},"reference":[{"key":"2025082713235701000_13.4.e233972.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(98)70371-3"},{"key":"2025082713235701000_13.4.e233972.2","doi-asserted-by":"crossref","first-page":"710","DOI":"10.4254\/wjh.v7.i4.710","article-title":"Endotipsitis: a case report with a literature review on an emerging prosthetic related infection","volume":"7","author":"Navaratnam","year":"2015","journal-title":"World J Hepatol"},{"key":"2025082713235701000_13.4.e233972.3","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1097\/MEG.0b013e3282fd6917","article-title":"Tipsitis: incidence and outcome-a single centre experience","volume":"22","author":"Kochar","year":"2010","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"2025082713235701000_13.4.e233972.4","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.1046\/j.1600-6135.2003.00267.x","article-title":"Biliary-venous fistula complicating transjugular intrahepatic portosystemic shunt presenting with recurrent bacteremia, jaundice, anemia and fever","volume":"3","author":"Jawaid","year":"2003","journal-title":"Am J Transplant"},{"key":"2025082713235701000_13.4.e233972.5","doi-asserted-by":"crossref","first-page":"130","DOI":"10.4254\/wjh.v3.i5.130","article-title":"Bacteremia and \"Endotipsitis\" following transjugular intrahepatic portosystemic shunting","volume":"3","author":"Mizrahi","year":"2011","journal-title":"World J Hepatol"},{"key":"2025082713235701000_13.4.e233972.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1998.00553.x"},{"key":"2025082713235701000_13.4.e233972.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1998.180_b.x"},{"key":"2025082713235701000_13.4.e233972.8","doi-asserted-by":"crossref","first-page":"280","DOI":"10.7869\/tg.310","article-title":"Endotipsitis caused by extremely drug-resistant Klebsiella pneumoniae","volume":"36","author":"Jessani","year":"2015","journal-title":"Trop Gastroenterol"},{"key":"2025082713235701000_13.4.e233972.9","doi-asserted-by":"publisher","DOI":"10.1086\/346156"},{"key":"2025082713235701000_13.4.e233972.10","doi-asserted-by":"crossref","DOI":"10.4103\/0022-3859.81875","article-title":"Endotipsitis: a diagnostic challenge","volume":"57","author":"Aggarwal","year":"2011","journal-title":"J Postgrad Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-233972","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:24:03Z","timestamp":1756326243000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-233972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,4,27]]},"published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1136\/bcr-2019-233972"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-233972","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,4]]}}}