Aquarium sign in sepsis.
A 91-year-old man appeared in our lab with fever for a transthoracic echocardiography assessment. Highly unusual echo images were found, with a size and movement resembling 'bubbles in an aquarium' in every cardiac chamber, both left and right. The patient died 8 days later, due to a methicillin-resistant Staphylococcus aureus sepsis. These are highly unusual images that should not be confused with microbubbles from contrast agents or radiofrequency ablation, and were previously reported once in association with atrioesophageal fistula.
Providência
Rui André
RA
Serviço de Cardiologia, Centro Hospitalar de Coimbra, Hospital Geral, Quinta dos Vales, 3041-801 S. Martinho do Bispo, Coimbre, Portugal. rui_providencia@yahoo.com
Mota
Paula
P
Quintal
Nuno
N
Quintal
Isabel
I
Leitao-Marques
António Manuel
AM
D000369:Aged, 80 and over; D004452:Echocardiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D018805:Sepsis / Q000000981:diagnostic imaging*; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging*