Integrated Ultrasound in Management of Sepsis: Case Report

We describe a 42-year-old woman who presented with fever, sore throat, exertional dyspnea and fatigue then developed sever sepsis and endocarditis, caused by Staphylococcus aureus. Here we describe the importance of Thoracoabdominal sonography to evaluate hemodynamic instability, fluid status, therapeutic response and fast diagnosis of the septic source. It is well-known that some source of sepsis detected by ultrasound can lead to urgent surgery, like our patient who underwent urgent splenectomy due to hematoma/abscess formation and urgent prosthetic heart valve replacement which both were diagnosed by ultrasound methods. Ultrasound can provide important information which can influence the management to improve patient’s outcome.