A septic embolism is a type of

embolism An embolism is the lodging of an embolus, a blockage-causing piece of material, inside a blood vessel. The embolus may be a blood clot (thrombus), a fat globule ( fat embolism), a bubble of air or other gas (gas embolism), amniotic fluid (amniot ...

that is infected with

bacteria Bacteria (; singular: bacterium) are ubiquitous, mostly free-living organisms often consisting of one biological cell. They constitute a large domain of prokaryotic microorganisms. Typically a few micrometres in length, bacteria were among ...

, resulting in the formation of

pus Pus is an exudate, typically white-yellow, yellow, or yellow-brown, formed at the site of inflammation during bacterial or fungal infection. An accumulation of pus in an enclosed tissue space is known as an abscess, whereas a visible collection ...

. These may become dangerous if dislodged from their original location. Like other emboli, a septic embolism may be fatal. One of the common microbes that can lead to widespread dissemination of septic emboli is ''

Fusobacterium necrophorum ''Fusobacterium necrophorum'' is a species of bacteria responsible for Lemierre's syndrome and other medical problems. Biology ''F. necrophorum'' is a rod-shaped species of Gram-negative bacteria. It is an obligate anaerobe and is a common inh ...

'', a

Gram negative The gram (originally gramme; SI unit symbol g) is a unit of mass in the International System of Units (SI) equal to one one thousandth of a kilogram. Originally defined as of 1795 as "the absolute weight of a volume of pure water equal to th ...

anaerobic

bacillus ''Bacillus'' (Latin "stick") is a genus of Gram-positive, rod-shaped bacteria, a member of the phylum ''Bacillota'', with 266 named species. The term is also used to describe the shape (rod) of other so-shaped bacteria; and the plural ''Bacilli ...

Fusobacteriota Fusobacteriota are obligately anaerobic non-sporeforming Gram-negative bacilli. Since the first reports in the late nineteenth century, various names have been applied to these organisms, sometimes with the same name being applied to different ...

are commensal organisms in the oral cavity. ''F. necrophorum'' and'' F. nucleatum'' are the most important among the non-spore forming

anaerobic Anaerobic means "living, active, occurring, or existing in the absence of free oxygen", as opposed to aerobic which means "living, active, or occurring only in the presence of oxygen." Anaerobic may also refer to: * Anaerobic adhesive, a bonding a ...

bacilli in causing human infections.'' F. necroporum'' may occasionally cause

septicaemia Sepsis, formerly known as septicemia (septicaemia in British English) or blood poisoning, is a life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. This initial stage is follo ...

with metastatic abscesses (

Lemierre's syndrome Lemierre's syndrome is infectious thrombophlebitis of the internal jugular vein. It most often develops as a complication of a bacterial pharyngitis, sore throat infection in young, otherwise healthy adults. The thrombophlebitis is a serious condi ...

Pathogenesis

Septic emboli most often originate from extrapulmonary locations which have been infected for a period of time. For example, a person's intravenous access site, which is used to insert

intravenous drug Drug injection is a method of introducing a drug into the bloodstream via a hollow hypodermic needle, which is pierced through the skin into the body (usually intravenously, but also at an intramuscular or Subcutaneous injection, subcutaneous l ...

s, may become infected. When present in great number, septic emboli can coalesce and mimick a lobar or bronchopneumonia. The infected site, combined with various coagulants that may be generated by the bacteria or the body, may then break off and enter the

circulatory system The blood circulatory system is a system of organs that includes the heart, blood vessels, and blood which is circulated throughout the entire body of a human or other vertebrate. It includes the cardiovascular system, or vascular system, tha ...

, potentially causing a

clot A thrombus (plural thrombi), colloquially called a blood clot, is the final product of the blood coagulation step in hemostasis. There are two components to a thrombus: aggregated platelets and red blood cells that form a plug, and a mesh of cr ...

Diagnosis

A septic embolism can be difficult to identify, as it is often attributed to other disorders or infections of the body. As a result, it may wreak havoc with CT scans. It can also be confused with lymph nodules, considering the similarity in shape and size. However, septic emboli usually lodge in the

heart valve A heart valve is a one-way valve that allows blood to flow in one direction through the chambers of the heart. Four valves are usually present in a mammalian heart and together they determine the pathway of blood flow through the heart. A heart v ...

s, where there are no lymph nodes.

References

{{Consequences of external causes Diseases of arteries, arterioles and capillaries

Pathogenesis

Diagnosis

See also

References