Any DIC following strep pneumonia septic shock?
My 45-y/o niece ended up with DIC after walk-in clinic sent her by ambulance to hospital for shock (she thought she had flu). She went to ICU quickly, her fingers were turning purple. A clot in Rt wrist found by IV site. Surgery to remove clot. Then surgery to remove hand below wrist. Now watching purple toes for demarcation. She’s on vasopressors to live & preserve her major organs, At the expense of her extremities. (They found out her spleen was shriveled or small or something, so the pneumonia was bad). She is in a Level I trauma hospital, but I wonder if that is the right place? She has a team of Doctors. I read Cleveland Clinic is good with DIC. But being so serious, hard to transfer at this point? It’s all so confusing for this rare & serious DIC. Podiatrist was hopeful for skin on toes. But ortho unsympathetically said amputate above toes. Shocking & sad, so young
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@kewp, I added your post to the ICU support group as well. This must be so hard to see your neice struggling to recover from disseminated intravascular coagulation (DIC). I'm tagging @kbreder @bossmomma54 @kristap31 @dtyner60 who have first-hand experience with DIC.
Is she still in ICU?
She has been/is in a step-down unit and on different treatments (betadine wash, then Silvadene, then a special dressing & gauze, boots) to toes. Currently, she might get a skin graft to some toes. It is extremely difficult for her & we’re all praying she can keep her digits! I’ll read those you listed above for their experience with DIC. Thank you.