Torulopsis glabrata fungemia as a complication of a clotted transjugular intrahepatic portosystemic shunt
โ Scribed by Darwin, Peter ;Mergner, Wolfgang ;Thuluvath, Paul
- Publisher
- Wiley (John Wiley & Sons)
- Year
- 1998
- Tongue
- English
- Weight
- 87 KB
- Volume
- 4
- Category
- Article
- ISSN
- 1074-3022
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โฆ Synopsis
Torulopsis glabrata fungemia developed in a patient with a clotted transjugular intrahepatic portosystemic shunt (TIPS) 11 months after placement. Fungemia persisted despite treatment with amphotericin B. On autopsy, T. glabrata was found in the thrombus occluding the TIPS and extending into the splenic and portal vein. TIPS infections may be considered in patients with fungemia.
๐ SIMILAR VOLUMES
jects. However, it is self-limited and rarely requires SEE EDITORIAL ON PAGE 177. intervention. Potential mechanisms of such hemolysis are discussed. TIPS is also not recommended as a means of improving platelet counts in patients with Transjugular intrahepatic portosystemic shunts (TIPS) severe hyp
Portosystemic encephalopathy is a common complication of surgical portacaval shunts. Recently, transjugular intrahepatic portosystemic shunts have been proposed to produce portal decompression in a manner analogous to a side-to-side portacaval shunt, but with less morbidity. The incidence and clinic
longterm success of this procedure. In recently published se-Development of stenosis or occlusion of the transjuguries, rates of stenosis and occlusion 1 to 2 years after TIPSS lar intrahepatic portosystemic stent shunt (TIPSS) is placement were on average 47% and 12%, respectively. 5,9,10 one of th