A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospital

Kazuyoshi Takeshita; Tsuyotoshi Izumisato; Toru Takane; Kazuro Nishihara

doi:10.1002/jgf2.578

Takeshita, Kazuyoshi; Izumisato, Tsuyotoshi; Takane, Toru; Nishihara, Kazuro

Journal of General and Family Medicine , Volume 24 (1) – Jan 1, 2023

Abstract

Sepsis is a critical syndrome and DIC often develops in severe septicemia. However, cares for severe patients are limited in remote hospitals. In addition, bad weather often makes medical evacuation difficult in such areas. A 66‐year‐old man had urinary tract infection by Escherichia coli, followed by septic shock and DIC rapidly just 2 days after the onset. He recovered in 3 weeks without any massive bleeding. Immediate insertion of the central venous catheter to maintain stable hemodynamics and Gram‐staining for selecting antibiotics were considered essential techniques for the survival of sepsis patients even in remote hospitals.

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A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospital

A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospital