Marques, NSá, RCoelho, FSaraiva da Cunha, JGMeliço-Silvestre, A2010-12-062010-12-062009Braz J Infect Dis. 2007 Oct;11(5):525-7.http://hdl.handle.net/10400.4/861We 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.engBacteriemiaInfecções por SerratiaDisciteShunt Porto-Sistémico Intra-Hepático Transjugularjournal article