Gangrene

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Gangrene was also called gangrene in the past

Gangrene is a historical name for all types of wound infections and their sequelae. Other names were also hospital fire, wet hospital fire and tan. The type of pathogen ( bacterial , viral , other), the spread (local, systemic) and the severity did not play a role in this antiquated, generalizing name. In the modern system, however, a distinction is made according to these factors, so that nowadays there is a variety of independent medical terms and gradations that would have been summarized under "gangrene" at that time. Such a later fragmentation of historical collective terms can often be observed in the history of medicine .

Some examples of the term "gangrene" today:

term Classification according to description
abscess Pathomechanism, type of pathogen Local meltdown of tissue, almost exclusively caused by bacteria.
Erysipelas Spread, type of pathogen Localized infection of the upper layers of the skin by bacteria.
Phlegmon Spread, type of pathogen Diffuse soft tissue infection, almost exclusively caused by bacteria.
gangrene Pathomechanism Tissue death due to a circulatory disorder, which can have various causes. Gangrene can be dry (uninfected) or wet (infected).
sepsis Spread Non-specific term for the body's reaction to a generalized infection; the type of pathogen does not matter. Common final stretch of escalating infectious diseases. Different degrees of severity.
Gas fire Pathogen type Trivial name for the advanced infectious-toxic stage of an infection with Clostridia (especially Clostridium perfringens ), based on a local focus.

All local infectious phenomena (from this list e.g. abscess, erysipelas, phlegmon, moist gangrene) can lead to systemic complications (sepsis) if they spread.

literature

  • Mommsen, Bleese, Schumpelick (eds.): Short textbook surgery . Ferdinand Enke Verlag, Stuttgart 2000, ISBN 3-13-127125-6 .
  • Classen, Diehl, Kochsiek: Internal medicine . Urban & Fischer, Munich 1998, ISBN 3-541-11673-0 .
  • Hof, Dörries: Dual Series: Medical Microbiology . Thieme, Stuttgart 2002

Individual evidence

  1. Georg Sticker : Hippokrates: The common diseases first and third book (around the year 434-430 BC). Translated from the Greek, introduced and explained by Georg Sticker. Johann Ambrosius Barth, Leipzig 1923 (= Classics of Medicine. Volume 29); Unchanged reprint: Central antiquariat of the German Democratic Republic, Leipzig 1968, p. 124 f.