PYREXIA OF
UNKNOWN ORIGIN
P Y R OG EN S
Pyrogens
• PYROGENS
• ▸ Pyrogens are fever producing substances, which are metabolic products of
microorganisms.
• Chemically, they are lipid substances associated with a carrier molecule, which is usually a
polysaccharide. The carrier may also be a peptide. These carriers increase the solubility of the
lipid.
• ▸ Pyrogens are produced by many microorganisms including bacteria, yeasts and moulds.
Most potent pyrogens are the endotoxins produced from the cell walls of the Gram-negative
bacteria.
Classification of pyrogens
• Classification of Pyrogens
• ▸ Exogenous Pyrogen (Exotoxins)
• > Endogenous Pyrogen (Endotoxin)
Classification of pyrogens
• 1.Endogenous pyrogen
• low-molecular-weight protein is produced by phagocytic leukocytes in response to
stimulation by exogenous pyrogens and released into the circulation.
• It induces fever by acting on the preoptic area of the hypothalamus to raise the set-point
of the hypothalamic thermostat..
Classification of pyrogens
• 2.Exogenous pyrogen
• fever-producing agents of external origin,
• e.g., bacterial endotoxins and other microbial products, antigen-antibodycomplexes,
viruses and synthetic polynucleotides, incompatible blood and blood products, and
androgen breakdown products such as etiocholanolone.
Source of pyrogens
• Source of pyrogen
• water used at the end stages of the purification.
• ⚫ crystallization of the drug or excipients: water used during
• processing.
• ⚫ packaging components; chemicals, raw materials or equipment used in the preparation of the product.
• • The presence of endotoxins on devices may be attributed to water in the manufacturing process.
• Washing of components such as filter media (filters). Washing/rinsing of tubing or other plastic devices
prior to their sterilization.

pyrexia of unknown origin edit.pdf

  • 1.
  • 2.
    Pyrogens • PYROGENS • ▸Pyrogens are fever producing substances, which are metabolic products of microorganisms. • Chemically, they are lipid substances associated with a carrier molecule, which is usually a polysaccharide. The carrier may also be a peptide. These carriers increase the solubility of the lipid. • ▸ Pyrogens are produced by many microorganisms including bacteria, yeasts and moulds. Most potent pyrogens are the endotoxins produced from the cell walls of the Gram-negative bacteria.
  • 3.
    Classification of pyrogens •Classification of Pyrogens • ▸ Exogenous Pyrogen (Exotoxins) • > Endogenous Pyrogen (Endotoxin)
  • 4.
    Classification of pyrogens •1.Endogenous pyrogen • low-molecular-weight protein is produced by phagocytic leukocytes in response to stimulation by exogenous pyrogens and released into the circulation. • It induces fever by acting on the preoptic area of the hypothalamus to raise the set-point of the hypothalamic thermostat..
  • 5.
    Classification of pyrogens •2.Exogenous pyrogen • fever-producing agents of external origin, • e.g., bacterial endotoxins and other microbial products, antigen-antibodycomplexes, viruses and synthetic polynucleotides, incompatible blood and blood products, and androgen breakdown products such as etiocholanolone.
  • 6.
    Source of pyrogens •Source of pyrogen • water used at the end stages of the purification. • ⚫ crystallization of the drug or excipients: water used during • processing. • ⚫ packaging components; chemicals, raw materials or equipment used in the preparation of the product. • • The presence of endotoxins on devices may be attributed to water in the manufacturing process. • Washing of components such as filter media (filters). Washing/rinsing of tubing or other plastic devices prior to their sterilization.