- Pyaemia
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ICD9 = ICD9|038.42
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MeshID =Pyaemia (or pyemia) is a type of septicaemia that leads to widespread
abscess es of a metastatic nature. It is usually caused by thestaphylococcus bacteria by pus-forming organisms in the blood. Apart from the distinctive abscesses, pyaemia exhibits the same symptoms as other forms of septicaemia. It was almost universally fatal before the introduction ofantibiotics .Sir
William Osler included a three-page discussion of pyaemia in his textbookThe Principles and Practice of Medicine , published in 1892. He defined pyaemia as follows:"A general disease, characterized by recurring chills and intermittent fever and the formation of abscesses in various parts, all of which result from the contamination of the blood by products arising from a focus contaminated by the bacteria of suppuration."
Earlier still,
Ignaz Semmelweis included a section entitled "Childbed fever is a variety of pyaemia" in his treatise, "The Etiology of Childbed Fever" (1861).Jane Grey Swisshelm , in her autobiography entitled "Half a Century", describes the treatment of pyaemia in 1862 during theAmerican Civil War .Symptoms
The disease is characterized by intermittent high temperature with recurrent chills; metastatic processes in varios parts of the body, especially in the lungs; septic pneumonia;
empyema . It may be fatal.Treatment
Antibiotics are effective. Prophylactic treatment consists in prevention of
suppuration .Different types of Pyemia
"arterial p." Pyemia resulting from dissemination of
emboli from athrombus in cardiac vessels."cryptogenic p." Pyemia of an origin that is hidden in the deeper tissues.
"metastatic p." Multiple abscesses resulting from infected pyemic thrombi.
"portal p." Suppurative inflamation of the portal vein.
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