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

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.