SUPPURATION, PY^MIA, SEPTICAEMIA, ERYSIPELAS. 

 Karlin>ki tabulated his cases thus : 



175 



PYAEMIA AND SEPTKLEMIA. 



When pyogenic micrococci get access to the blood stream they 

 may be carried into distant parts, and by multiplying produce meta- 

 >tatic abscesses in the lymphatic glands, bones, joints, and internal 

 organs, a condition which is recognised as pyaemia. 



If there is a general invasion of the blood stream by micrococci, 

 and absorption of their poisonous products, septicaemia results, and 

 death may occur before the development of any secondary lesions. 

 When septic micro-organisms multiply locally, and their chemical 

 products are absorbed, or their products are separated from putrid 

 materisil and injected into the circulation, the result may be called 

 .il,,;i ,',. The blood in septicaemia contains living or#ani>ins. and is 

 infective. The blood in saprsemia contains only the toxic chemical 

 products, and is not infective. The one is septic infection ami t lie- 

 other septic intoxication. Pyaemia may follow accidental wounds, 

 surjrical operations, parturition, acute suppuration of bones, scarlet 

 te\er. typhoid fever, and other di>-a---. 



To avoid pyuMiiia in surgery and midwifery, the greatest care 

 must be taken to prevent micro-organisms from being conveyed by 



nim.'nts, sponges, bandars, and by the hand> of tin- >urgeon 



the obstetric physician. By the use of anti>-j,tic> and absolute 

 cleanliness the chances of infection are reduced to a minimum. 



