# The patient was diagnosed with _____, a systemic infection characterized by high fever and bacterial growth in blood cultures.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=168480  
> language: ko  
> subject: Certain infectious and parasitic diseases

## 문제

The patient was diagnosed with _____, a systemic infection characterized by high fever and bacterial growth in blood cultures.

## 보기

1. septicemia **✔ 정답**
2. viremia
3. bacteremia
4. parasitemia
5. fungemia

**정답: 1**

## 해설

Septicemia is a serious bloodstream infection where bacteria multiply in the blood, causing widespread inflammation. This condition can quickly become life-threatening, leading to septic shock and organ failure. Early symptoms include high fever, rapid breathing, increased heart rate, and mental confusion. Immediate antibiotic treatment is crucial for survival.

## 임상 시나리오

• Septicemia: Systemic inflammatory response to severe infection in bloodstream
• Key symptoms: High fever, chills, rapid breathing, increased heart rate, confusion
• Diagnostic criteria: Positive blood cultures, elevated WBC count
• Treatment: Broad-spectrum antibiotics, fluid resuscitation, vasopressors if needed
• Complications: Septic shock, multiple organ dysfunction syndrome (MODS)
• Bacteremia: Presence of bacteria in blood without systemic response
• Viremia: Viral presence in bloodstream
• Parasitemia: Parasites in blood (e.g., malaria)
• Fungemia: Fungal presence in blood
• Risk factors: Immunocompromised state, invasive procedures, chronic illness
• Prevention: Proper infection control, early identification of infection sources
• Mortality rate: 30-50% if untreated
• SIRS criteria: Temperature >38°C or 90/min, Respiratory rate >20/min
• Biomarkers: Procalcitonin, C-reactive protein, lactate levels
• Hemodynamic monitoring: Essential for management

## 핵심 개념

- **septicemia** — A severe systemic infection characterized by bacteria and their toxins in the bloodstream, causing widespread inflammation and potentially leading to septic shock and organ failure
- **viremia** — The presence of viruses in the bloodstream, indicating a viral infection that has spread beyond its initial site
- **bacteremia** — The presence of bacteria in the blood without necessarily causing infection or symptoms
- **parasitemia** — The presence of parasites in the bloodstream, commonly seen in diseases like malaria
- **fungemia** — The presence of fungi in the blood, typically occurring in immunocompromised patients

## 같은 주제 문제

- [Patient requires broad-spectrum ______ coverage due to suspected sepsis.](https://mymerci.kr/pages/nclex_q.php?qn_id=168340)
- [Blood cultures grew ______ aureus in multiple bottles.](https://mymerci.kr/pages/nclex_q.php?qn_id=168352)
- [Patient requires ______ therapy for refractory septic shock.](https://mymerci.kr/pages/nclex_q.php?qn_id=168365)
- [The patient developed _____, a severe systemic inflammatory response to infection, often l…](https://mymerci.kr/pages/nclex_q.php?qn_id=168442)
- [The patient developed _____, a severe infection characterized by the presence of bacteria …](https://mymerci.kr/pages/nclex_q.php?qn_id=168455)

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