Excerpt from The Cleveland Medical Journal, Vol. 1: January, 1902
From a clinical point of view the diagnosis of pyemia, in many cases, becomes impossible; but the pathologists still adhere to the distinction between septicemia and pyemia, and with perfect propriety. For the clinician the line of demarkation between septicemia and pyemia ceases to exist; it happens frequently that a case begins at septicemia and terminates in pyemia; our clinical evidences are not sufficient to differentiate between the one and the other form in all cases; so that the suggestion offered by Leube to call the condition septicopyemia is one well worthy of discussion and consideration. It might be deemed proper to designate those cases as pyemia in which secondary pus deposits are produced as the result of metastasis or embolism, as Leube suggests, and as septicemia those in which this is not the case.
The attempt has been made to speak of a medical, a surgical, and an obstetric septicemia; it is needless to say that such a dis tinction would be, at the least, unreasonable, for septicemia is always septicemia, whatever its origin, whether from an external or an internal entrance of lower forms of life. Those cases, how ever, in which the infection takes place from within the body are those that come to the physician, and because of the mode of infection frequently present a more or less peculiar clinical picture, in like manner as surgical or obstetric scarlatina, as a rule, differs from scarlatina acquired through infection by the throat. It is this peculiar clinical picture that has appealed to Leube and others, and evidently must appeal to everyone.
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