Middle aged man presented with severe sepsis and multi organ failure. He was started on broad spectrum antibiotics. Blackish discoloration of all toes and fingers started, suspected infection induced vasculitis, later have developed a cytokine storm for which 2 sessions of hemadsorption done using HA380 Filter.
3 sessions of Hemodialysis were done for acute kidney failure. Gangrenous changes in all fingers were settled, but not in the toes, for which he underwent Amputation.
He was discharged from the hospital after 45 days.
Team of Doctors involved:
Dr Amit Sattur, Cardiologist.
Dr Chetan Hosakatti, Vascular surgeon.
Intensivists, I CARE.
Dr Shidram, Nephrologist.
Vivekananda General Hospital
Hubli

