A patient with a history of severe combined immunodeficiency disease (SCID) had been repeatedly admitted to ICU for sepsis. Her history also includes chronic obstructive pulmonary disease, recurrent pneumonia and lesion in the left lower lobe. Atrial fibrillation. She receives corticotherapy.
Central venous port (inserted into the subclavian vein) was identified as the cause of sepsis. The port was removed. Toilet bronchoscopy was performed, purulent sputum was evacuated from both lower lobes. Microbiological cultivation revealed methicillin-sensitive Staphylococcus aureus (MSSA) in blood culture as well as in cannula of the port and bronchial aspirate.
Echocardiography revealed neither endocarditis nor right ventricular overload.
Lung ultrasonography could be performed only when the patient was in the lying position; examination of dorsal parts was performed only by the positioning of the patient to the sides: