The Agents Causing Inflammation May Be
The Agents Causing Inflammation May Be
It is a body defense reaction in order to eliminate(removal) or limit (prevent) the spread of injurious
agent, followed by removal of the necrosed cells and tissues to prepare for tissue repair.
1. Infective agents like bacteria, viruses and their toxins, fungi, parasites.
2. Immunological agents like cell-mediated and antigen antibody reactions.
3. Physical agents like heat, cold, radiation
4. Chemical agents like organic and inorganic poisons.
5-mechanical trauma.
Signs of Inflammation. The Roman writer Celsus in 1st century A.D. named the famous 4 cardinal signs of
inflammation as:
1. The offending agent, which is located in extravascular tissues, is recognized by host cells and
molecules.
2. Leukocytes and plasma proteins are recruited from the circulation to the site where the offending
agent is located.
3. The leukocytes and proteins are activated and work together to destroy and eliminate the
offending substance.
4. The reaction is controlled and terminated.
5. The damaged tissue is repaired.
Type of Exudation
The appearance of escaped plasma determines the morphologic
type of inflammation as under:
i) Serous, when the fluid exudate resembles serum or is watery e.g. pleural effusion in tuberculosis, blister
formation in burns.
ii) Fibrinous, when the fibrin content of the fluid exudate is high e.g. in pneumococcal and rheumatic
pericarditis.
iii) Purulent or suppurative exudate is formation of creamy pus as seen in infection with pyogenic bacteria
e.g. abscess, acute appendicitis.
iv) Haemorrhagic, when there is vascular damage e.g. acute haemorrhagic pneumonia in influenza.
v) Catarrhal, when the surface inflammation of epithelium produces increased secretion of mucous e.g.
common cold.
GRANULOMATOUS INFLAMMATION
Granuloma is defined as a circumscribed, tiny lesion, about 1 mm in diameter, composed predominantly
of collection of modified macrophages called epithelioid cells, and rimmed at the periphery by lymphoid
cells.
TUBERCULOSIS
Tissue response in tuberculosis represents classical example of chronic granulomatous inflammation in
humans.