One year old Scarlett loses foot and fingertip to sepsis: A mother’s story

In March 2018, Natalie Atkins’ one-year-old daughter, Scarlett, fell seriously ill after showing signs of sepsis. Despite seeking medical help, Scarlett’s condition worsened, ultimately leading to the amputation of her left foot and the tip of one of her fingers. Natalie shares her harrowing experience and highlights the critical importance of recognising sepsis in young children.

Scarlett’s symptoms: A rapidly worsening condition

On March 18, 2018, Natalie noticed Scarlett’s alarming symptoms: a high fever, persistent cough, and a red pin-prick rash spreading across her chest, tummy, and back. Scarlett’s feet were bluish-purple and mottled, and her hands and feet felt cold. She was unusually lethargic, disoriented, and refused to eat or drink. Worse still, Scarlett had not passed any urine.

Concerned, Natalie immediately called NHS 111 at 12:18 pm. They advised her to bring Scarlett to the hospital’s Urgent Care Centre within the hour. However, upon arrival, they faced a long wait to see a doctor, during which Scarlett’s condition rapidly deteriorated, making it difficult for her to breathe.

A misdiagnosis and growing concerns

Once seen by a doctor, Scarlett was diagnosed with a sore throat and a viral rash. The doctor suggested they return home and prescribed antibiotics, only advising use if Scarlett’s throat showed signs of infection. But after a restless night, with Scarlett vomiting twice, Natalie grew more concerned. The next morning, Scarlett’s condition had worsened, and she was floppy and disoriented.

After speaking with her GP, Natalie managed to secure an earlier appointment. However, Scarlett’s condition continued to decline. Her lips turned blue, and she struggled to breathe. In a state of panic, Natalie called her GP again, and Dr. Parry urged her to bring Scarlett in immediately.

Life-saving intervention: Sepsis diagnosis

Upon examining Scarlett, Dr. Parry quickly diagnosed septic shock — a life-threatening complication of sepsis characterised by dangerously low blood pressure. Scarlett was immediately transferred by ambulance to Lister Hospital, and from there, she was quickly transferred to Great Ormond Street Hospital. Doctors feared Scarlett might not survive the journey.

Intensive treatment and devastating loss

At Great Ormond Street, Scarlett received life-saving care, including multiple antibiotics, chest drains, and numerous X-rays. Unfortunately, the sepsis had caused severe damage, leading to the amputation of Scarlett’s left foot and the tip of one of her fingers. Scarlett also endured extensive scarring and skin grafts, with more surgeries likely in her future.

The long road to recovery

Before her illness, Scarlett was a typical one-year-old, beginning to walk, feed herself, and explore. However, her recovery has been slow. Doctors predict delays in her walking and potential growth issues in her legs.

Natalie’s message to parents is clear: Be aware of the symptoms of sepsis. If you suspect your child may be affected, call 999 immediately. Early diagnosis is crucial, as delay can lead to life-changing injuries or even death. “We were fortunate that Scarlett survived, but our lives have changed forever,” Natalie says.

Investigating medical negligence

Tees Law is currently investigating whether Natalie has grounds to pursue a claim for damages against the Urgent Care Centre at Queen Elizabeth II Hospital. Janine Collier, Executive Partner and Head of the Medical Negligence and Personal Injury Team at Tees, emphasised the importance of early sepsis diagnosis. “In the UK, more people die from sepsis than from breast, bowel, and prostate cancers combined. Early recognition and treatment save lives and can prevent long-term complications. We will work closely with the family to review the facts of this case.”

Sepsis is a medical emergency, and understanding its symptoms can be the difference between life and death. Early intervention is key to reducing the risk of permanent damage.