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INFLAMMATION
DEFENITION:
When tissue injury occurs(caused by bacteria, trauma,chemical,heat etc.)multiple substances are released by injured tissues & cause secondary changes,this entire complex of tissue changes is called inflammation
Inflammation is characterized by: 1) Vasodilation of local blood vessels 2) Increased permeability of capillaries 3) Clotting of fluid in interstitial spaces due to increased amount of fibrinogen 4) Migration of granulocytes & monocytes in tissue 5) Swelling of tissue cells
Therefore infection is walled off rapidly & prevented from spreading Streptococci in contrast do not cause such intense local tissue destruction,walling off process is also slow,& have far greater tendency to spread throughout body & cause death
NEUTROPHILIA:
Within few hours,number of neutrophils increases upto 15,000 to 25,000/microlitre Caused by products of inflammation,entering blood straem,transported to bone marrow
Results from stimulation of granulocytic & monocytic progenitor cells of bone marrow Cause of increased production of granulocytes & monocytes is mainly by colony stimulating factors,GM-CSF,G-CSF,M-CSF
FORMATION OF PUS
When neutrophils & macrophages engulf large number of bacteria & necrotic tissue,all neutrophils & macrophages die A cavity is formed containing necrotic tissue,dead neutrophils,dead macrophages & tissue fluids ,this mixture is called pus After infection is supressed,dead cells & necrotic tissue is autolyzed & end products absorbed by surrounding tissue
LEUKOPENIA
A condition in which bone marrow produces very few WBCs leaving body unprotected against bacteria & other invading agents Human body lives in symbiosis with many bacteria Within 2 days after bone marrow stops producing WBCs,these bacteria invade adjacent tissues Bacteria start forming ulcers & then invade through these ulcers to tissues & blood stream
CAUSES:
Exposure of body to x-rays,gamma rays Drugs(chloramphenicol, thiouracil) Certain chemicals(containing benzene)
TREATMENT:
Adequate transfusions antibiotics