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A 66\u2010year\u2010old man had urinary tract infection by <jats:italic>Escherichia coli<\/jats:italic>, followed by septic shock and DIC rapidly just 2\u2009days after the onset. He recovered in 3\u2009weeks without any massive bleeding. Immediate insertion of the central venous catheter to maintain stable hemodynamics and Gram\u2010staining for selecting antibiotics were considered essential techniques for the survival of sepsis patients even in remote hospitals.<\/jats:p>","DOI":"10.1002\/jgf2.578","type":"journal-article","created":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T08:04:21Z","timestamp":1662969861000},"page":"50-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of disseminated intravascular coagulation of sepsis that caused extreme\u2010thrombocytopenia treated at a remote\u2010island\u2010hospital"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2837-1802","authenticated-orcid":false,"given":"Kazuyoshi","family":"Takeshita","sequence":"first","affiliation":[{"name":"National Health Insurance Shihoro Hospital, General Medicine  Shihoro Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyotoshi","family":"Izumisato","sequence":"additional","affiliation":[{"name":"National Health Insurance Okushiri Hospital, General Medicine  Okushiri Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Takane","sequence":"additional","affiliation":[{"name":"Self\u2010Defense Force Misawa Hospital, General Medicine  Misawa, Aomori Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuro","family":"Nishihara","sequence":"additional","affiliation":[{"name":"National Health Insurance Okushiri Hospital, General Medicine  Okushiri Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40560-016-0149-0"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-021-02735-7"},{"issue":"3","key":"e_1_2_8_4_1","first-page":"42","article-title":"The present conditions and the future about emergency transportation in the southern Hokkaido area","volume":"14","author":"Asai Y","year":"2015","journal-title":"J Jpn Counc Traffic Sci"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.0287"},{"key":"e_1_2_8_6_1","doi-asserted-by":"crossref","unstructured":"MehtaA KhalidA SwaroopM.Sepsis and septic shock. 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