Cardiovascular and Lymphatic Systems: Infectious Diseases

Cardiovascular and Lymphatic Systems

Composition and Functions

Cardiovascular System
  • Composition:
    • Blood vessels: Carry blood to and from all regions of the body.
    • Heart: Pumps the blood.
    • Closed circuit known as the circulatory system.
  • Functions:
    • Provides tissues with oxygen and nutrients.
    • Carries away carbon dioxide and waste products.
Lymphatic System
  • Composition:
    • Lymph vessels: Roughly parallel the blood vessels.
    • Lymph nodes: Cluster at body sites such as the groin, neck, armpit, and intestines.
    • Spleen
  • Function:
    • Major source of immune cells and fluids.
    • One-way passage: Returns fluid from the tissues to the cardiovascular system.

Anatomy

  • The lymphatic system consists of a branching network of vessels extending into most body areas.
  • Higher density of lymphatic vessels in 'dead-end' areas like hands, feet, and breast, which are frequent contact points for infections.
  • Other lymphatic organs include lymph nodes, spleen, gut-associated lymphoid tissue (GALT), thymus, and tonsils.
  • Direct connection between the two circulations occurs near the heart where large lymph ducts empty their fluid into veins.

Heart

  • Fist-sized muscular organ that pumps blood throughout the body.
    • Atria: Upper chambers.
    • Ventricles: Lower chambers.
    • Pericardium: Fibrous covering of the heart and occasional site of infection.
  • Wall of the heart has three layers:
    • Epicardium (outermost).
    • Myocardium.
    • Endocardium (innermost): Covers the valves of the heart; common target of microbial infection.

Blood Vessels

  • Arteries: Carry oxygenated blood away from the heart under relatively high pressure; branch into arterioles.
  • Veins: Begin as venules in the periphery of the body; carry deoxygenated blood back to the heart.
  • Capillaries: Smallest blood vessels, connect arterioles to venules and have only one layer of endothelium.
  • Layers of the blood vessels:
    • Innermost layer: Composed of endothelium; smooth surface encourages the flow of cells and platelets.
    • Middle layer: Composed of connective tissue and muscle fibers.
    • Outer layer: Thin layer of connective tissue.

Defenses

  • The cardiovascular system is highly protected from microbial infection.
    • Microbes that successfully invade the system have access to every part of the body.
    • Every system has the potential to be affected.
    • Bloodstream infections are considered systemic infections.
  • Multiple defenses against infection:
    • 5,000 to 10,000 WBC per microliter of blood.
    • Lymphocytes: Adaptive immunity.
    • Phagocytes: Critical to innate and adaptive immune responses.
Medical Terminology
  • Medical conditions involving the blood have the suffix -emia:
    • Viremia: Presence of viruses in the blood.
    • Fungemia: Presence of fungi in the blood.
    • Bacteremia: Presence of bacteria in the blood.
  • Septicemia (sepsis): Bacteria growing and flourishing in the blood.
  • Septic shock: Cascading immune responses to septicemia, resulting in decreased blood pressure, a life-threatening condition.

Normal Biota

  • The cardiovascular and lymphatic systems are