Pyaemia
| Classification according to ICD-10 | |
|---|---|
| A41.9 | Pyaemia |
| ICD-10 online (WHO version 2019) | |
A pyaemia ( gr. Pyon = " pus " and aima = "blood"), the presence of numerous pyogenic organisms in the blood is a particular form of sepsis (blood poisoning), to infectious germs propagate in from the original focus into other body organs ( metastasize ). In this context one speaks of a metastatic general infection .
causes
After external injury or surgery propagate at a pyaemia the pathogens , substantially staphylococci such as Staphylococcus pyogenes , Streptococcus pyogenes , Staphylococcus aureus , or Neisseria , such as Neisseria meningitidis by embolic carryover (via the blood) in other organs such as lung , heart , liver , spleen , Kidneys and brain , but also joints. There they form organ abscesses and cause purulent inflammation and tissue breakdown. The affected patients have chills and a very high fever. Pyemia is a very serious condition that, if left untreated, leads to death. The prognosis is even worse than that of sepsis.
In the 19th century, Rudolf Virchow recognized the pyemia, characterized by the presence of numerous pus pathogens in the blood, as a form of blood poisoning. Childbed fever is a special variant of pyaemia . Ignaz Semmelweis , who discovered the causes of childbed fever, died of pyemia.
therapy
see sepsis
literature
- S. Nattakom et al. a .: Amebic liver abscesses masquerading as pyemic abscesses. In: Clin Infect Dis . 33/2001, pp. 145-147. PMID 11702293
- RP Sakalkale u. a .: Retrobulbar pseudotumor as a manifestation of Staphylococcal pyemia. In: Indian Pediatr. 34/1997, pp. 441-443. PMID 9332122
- H. Wyklicky, M. Skopec: Ignaz Philipp Semmelweis, the prophet of bacteriology. In: Infection Control . 4/1983, pp. 367-370. PMID 6354955
- JR Gladden: Myocardial abscess with perforation of the heart following Staphylococcal pyemia. In: Clin Orthop Relat Res. 362/1999, pp. 6-11. PMID 10335273
- JS Kisacky: Restructuring isolation: hospital architecture, medicine, and disease prevention. In: Bull Hist Med. 79/2005, pp. 1-49. PMID 15764826
- E. Michels: A further contribution to the surgical treatment of puerperal pyaemia. In: The Lancet 174/1909, pp. 1656-1658.
Web links
- Pyemia in Meyer Konversations Lexikon from 1885
- Pyaemia . In: Brockhaus Konversations-Lexikon 1894-1896, Volume 13, pp. 528-529.
- Infections of the blood vessel system (PDF) Medical University of Vienna
Individual evidence
- ^ Heinz Otremba: Rudolf Virchow. Founder of cellular pathology. A documentation. Echter-Verlag, Würzburg 1991, pp. 23 and 43.
- ^ W. Regal, M. Nanut: Woman's death from a man's hand (Old Medical Vienna 34). ( Memento of the original from September 22, 2007 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. In: Doctors Week 20/2003.
