Severe inflammatory response and vasculitis leading to quadruple limb amputations.
A systemic inflammatory response causing multi-organ failure and requiring multiple amputations was refractory to all treatments except Anakinra, and the cause remains unclear.
Department of Anaesthetics, Princess Alexandra Hospital, Harlow CM20 1QX, UK.
Rebecca
R
Brinkler
Department of Anaesthetics, Northwick Park Hospital, HA1 3UJ.
Xiaoxi
X
Zhang
Department of Anaesthetics, Chase Farm Hospital, Enfield EN2 8JL, UK.
Sinthuja
S
Ratnasingam
Department of Intensive Care, Chase Farm Hospital, Enfield EN2 8JL, UK.
Jeremy
J
Dawson
Department of Dermatology, Chase Farm Hospital, Enfield EN2 8JL, UK.
Ioulios
I
Palamaras