Chapter 21 - Microbial Cardiovascular and Systemic Diseases Flashcards
septicemia
any microbial infection of the blood that produces an illness
bacteremia
bacterial septicemia
-often harmless
toxemia
release of bacterial toxins into the blood
lymphangitis
infection + inflammation of lymphatic vessels
*Septicemia, Bacteremia, + Toxemia
pathogens
Septicemia + Toxemia caused by various bacteria
- -septi is most caused by Gram-neg
- often opportunistic + nosocomial infections
*Septicemia, Bacteremia, + Toxemia
signs + symptoms
- fever, chill, nausea, vomit, diarrhea, malaise, disseminated intravascular clotting, hypotension
- -PETECHIAE
- -toxemia symptoms vary on the toxin
*Petechiae
small hemorrhagic lesions
-can develop fr *Septicemia, Bacteremia, + Toxemia
*toxemia symptoms based on toxin type
*EXOTOXIN - released fr living microbes
ENDOTOXIN - released fr gram-neg
*Septicemia, Bacteremia, + Toxemia
virulence factors
- bacteria that produce capsule may resist phagocytosis
- siderophores to capture iron needed for bacterial growth`
Septicemia, Bacteremia, + Toxemia
epidemiology
- septicemia due to direct inoculation of bacteria into the blood
- immunocompetent individuals rarely have septicemia (bacterial infections are self-limited)
*which type of bacteria produces more severe septicemia?
GRAM-NEG
- due to release of ENDOTOXIN
- activates various defensive rxn by the body
Septicemia, Bacteremia, + Toxemia
diagnosis
signs + symptoms
*Septicemia, Bacteremia, + Toxemia
treatment + *prevention
T- prompt diagnosis + antimicrobial drugs
P-includes immediate treatment of infections
*–important in individuals w immune systm
4 potential effects of Endotoxin [Lipid A of LPS]
1 Fever
2 Disseminated intravascular coagulation [DIC]
3 Inflammation
4 Shock
Shock from Endotoxins is caused by…
inflammation,
plasma loss, reduction of BP
*Endocarditis
Pathogen
streptococci cause almost half of the cases
*Endocarditis
Pathogenesis + epidemiology
- patients usually have obvious source of infection
- -patients w abnormal hearts have increased risk
- -results in vegetation in heart valves
*Endocarditis
Treatment + *prevention
T-treat w IV antibacterial drugs
*P- prophylactic antibiotics for high-risk patients when needed