Toxemia

Introduction Toxemia refers to bacterial toxins that enter the bloodstream from locally infected lesions, resulting in systemic persistent high fever accompanied by excessive sweating, weak pulse or shock. Bacterial toxins enter the blood circulation from locally infected lesions, producing systemic persistent hyperthermia with a lot of sweating, weak pulse and shock. Since blood toxins directly damage blood cells in the blood, anemia often occurs. Bacteria can not be found in blood culture. It is worth noting that severe lesions, vascular embolism, intestinal obstruction and other diseases, although no bacterial infection, but the destruction of large areas of tissue toxins can also cause toxemia. Toxic toxemia, also known as "multiple abscesses", has been called "septic sepsis" in the past and is one of the most serious systemic suppurative infections. A large number of bacteria in a group form a bacterial embolus. When the bacterial emboli intermittently invades the human blood circulation and stays somewhere in the body, causing a series of symptoms, it is called sepsis. The most common pathogens are Staphylococcus aureus and Staphylococcus epidermidis, and the clinically prominent manifestation is the formation of multiple abscesses.

Cause

A variety of symptoms other than fever caused by pathogens and their metabolites are called toxic symptoms, such as rash, headache, joint pain, disturbance of consciousness, respiratory and circulatory failure, hepatosplenomegaly, etc., which are common to many infectious diseases. which performed. Early sick children may have suppurative lesions locally, such as suppurative tonsillitis, sputum, acute osteomyelitis, etc. These lesions are the source of sepsis.

an examination

Related inspection

Blood test routine routine urine stool blood

1. Blood: The total number of white blood cells is increased, neutrophils are increased, and there is a tendency for the left nucleus to move. Even the total number of white blood cells does not increase, or even decrease, which may indicate a poor prognosis. During the recovery process after treatment, lymphocytes and eosinophils are significantly increased. Progressive anemia.

2, urine: proteinuria can appear, there are also a few white blood cells and casts.

3, feces: more loose stools, containing a little mucus.

4. Bacterial culture: In addition to blood culture, pathogenic bacteria may be isolated from the lesion site and the diseased body fluid.

Differential diagnosis

Attention should be paid to the identification of gastrointestinal infections, poisonous bacillary dysentery, severe typhoid fever, miliary tuberculosis, encephalitis and recessive local infections.

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