What is the Difference Between Septicemia and Bacteremia and Toxemia?

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Septicemia, bacteremia, and toxemia are related but distinct conditions. Here are the key differences between them:

  • Septicemia: This is a clinically significant form of bacteremia complicated by toxemia, fever, malaise, and often shock. It is characterized by the multiplication of microorganisms within the bloodstream and their spreading to blood from fixed microcolonies present in one or more tissues. Septicemia is an infection due to blood poisoning by bacteria and is the most extreme response of a body to an infection.
  • Bacteremia: This is the presence of viable bacteria in the bloodstream circulating in the body. Bacteremia is not as dangerous as septicemia, and the bacteria present in the bloodstream are often removed by the body on its own. Bacteremia can be caused by various bacteria, including Staphylococcus, Streptococcus, Pseudomonas, Haemophilus, and E. coli, as well as dental procedures, urinary tract infections, and intravenous drug use.
  • Toxemia: This condition, also known as preeclampsia during pregnancy, is a severe problem that causes high blood pressure and excess protein in the urine. Toxemia is the presence of toxins in the blood circulating in the body. It only takes place in women during pregnancy or shortly after delivery.

In summary, septicemia is a systemic infection that multiplies and spreads throughout the body, bacteremia is the simple presence of bacteria in the blood circulating in the body, and toxemia is the presence of toxins in the blood circulating in the body.

Comparative Table: Septicemia vs Bacteremia vs Toxemia

The difference between septicemia, bacteremia, and toxemia can be summarized in the following table:

Characteristic Bacteremia Septicemia Toxemia
Definition The presence of bacteria in the bloodstream The presence and multiplication of bacteria in the blood, causing blood poisoning The presence of toxins in the blood circulating in the body
Danger Level Not as dangerous as septicemia Potentially life-threatening infection Severe problem causing high blood pressure and excess protein in the urine
Toxin Production Toxins are not produced Toxins may be produced by bacteria Toxins are present in the blood
Symptoms Mild fever or no symptoms Chills, fever, prostration, very fast respiration and/or heart rate High blood pressure and excess protein in the urine
Causes Staphylococcus, Streptococcus, Pseudomonas, Haemophilus, E. coli, dental procedures, herpes (including herpetic whitlow), urinary tract infections, peritonitis, Clostridium difficile colitis, intravenous drug use, and colorectal cancer Staphylococci, which cause more than 50% of cases of sepsis Occurs only in women during pregnancy or postpartum period
Treatment Rapidly removed from the bloodstream by the immune system Antibiotics to treat the bacterial infection causing septicemia No specific treatment mentioned
Complications Transient and remains below the threshold in most cases Septicemia can lead to dangerous complications such as toxemia, sepsis, and septic shock Severe cases can lead to preeclampsia, eclampsia, and organ damage

In summary, bacteremia is the presence of bacteria in the bloodstream, septicemia is the presence and multiplication of bacteria in the blood causing blood poisoning, and toxemia is the presence of toxins in the blood during pregnancy or the postpartum period. Toxemia is the most severe condition, and septicemia can lead to dangerous complications if left untreated.