title: Aquarium sign in sepsis.
abstract: 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.
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar de Coimbra, Hospital Geral, Quinta dos Vales, 3041-801 S. Martinho do Bispo, Coimbre, Portugal. rui_providencia@yahoo.com
authors.forename: Rui André
authors.initials: RA
authors.lastname: Providência
authors.forename: Paula
authors.initials: P
authors.lastname: Mota
authors.forename: Nuno
authors.initials: N
authors.lastname: Quintal
authors.forename: Isabel
authors.initials: I
authors.lastname: Quintal
authors.forename: António Manuel
authors.initials: AM
authors.lastname: Leitao-Marques
mesh_terms: 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*