A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospital
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,...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-01-01
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| Series: | Journal of General and Family Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jgf2.578 |
| _version_ | 1797964547110207488 |
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| author | Kazuyoshi Takeshita Tsuyotoshi Izumisato Toru Takane Kazuro Nishihara |
| author_facet | Kazuyoshi Takeshita Tsuyotoshi Izumisato Toru Takane Kazuro Nishihara |
| author_sort | Kazuyoshi Takeshita |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T01:45:43Z |
| format | Article |
| id | doaj.art-945b3f5c787c4bff9d72ec30bc6941c4 |
| institution | Directory Open Access Journal |
| issn | 2189-7948 |
| language | English |
| last_indexed | 2024-04-11T01:45:43Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of General and Family Medicine |
| spelling | doaj.art-945b3f5c787c4bff9d72ec30bc6941c42023-01-03T07:37:16ZengWileyJournal of General and Family Medicine2189-79482023-01-01241505310.1002/jgf2.578A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospitalKazuyoshi Takeshita0Tsuyotoshi Izumisato1Toru Takane2Kazuro Nishihara3National Health Insurance Shihoro Hospital, General Medicine Shihoro JapanNational Health Insurance Okushiri Hospital, General Medicine Okushiri JapanSelf‐Defense Force Misawa Hospital, General Medicine Misawa, Aomori JapanNational Health Insurance Okushiri Hospital, General Medicine Okushiri JapanAbstract 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.https://doi.org/10.1002/jgf2.578DICgram‐stainingremote areasepsisshockthrombocytopenia |
| spellingShingle | Kazuyoshi Takeshita Tsuyotoshi Izumisato Toru Takane Kazuro Nishihara A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospital Journal of General and Family Medicine DIC gram‐staining remote area sepsis shock thrombocytopenia |
| title | A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospital |
| title_full | A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospital |
| title_fullStr | A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospital |
| title_full_unstemmed | A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospital |
| title_short | A case of disseminated intravascular coagulation of sepsis that caused extreme‐thrombocytopenia treated at a remote‐island‐hospital |
| title_sort | case of disseminated intravascular coagulation of sepsis that caused extreme thrombocytopenia treated at a remote island hospital |
| topic | DIC gram‐staining remote area sepsis shock thrombocytopenia |
| url | https://doi.org/10.1002/jgf2.578 |
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