Abstract

Septic shock is a common cause of hemodynamic instability. To optimize management, causative mechanisms need to be determined early in the process. Early diagnosis and intervention remain very important aspects in establishing a favourable outcome. Fortunately, early diagnosis can be facilitated with good clinical acumen and aided with bedside echocardiography, as illustrated in the following case. The Research Ethics Committee of the Montreal Heart Institute granted approval for the use of the related echocardiographic images for research and educational purposes. A 30-yr-old woman presented with mild hypotension, high fever, and acute renal failure 3 days after instrumental vaginal delivery. She had experienced mild pharyngeal discomfort and non-hemorrhagic diarrhea for 24 hr on the second puerperal day. She was first diagnosed with sepsis of unknown origin and was given broad-spectrum

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