Group F streptococcal empyema from aspiration of a grass inflorescence.
A previously healthy 15-year-old boy was seen with a loculated right lower lobe empyema. Group F beta-hemolytic streptococci were cultured from the pleural fluid. Surgical intervention was required. An unsuspected aspirated grass inflorescence and a bronchopleural fistula were discovered during a decortication procedure.
Baethge
B A
BA
Department of Medicine, Louisiana State University School of Medicine, Shreveport 71130-3932.
Eggerstedt
J M
JM
Olash
F A
FA
D000293:Adolescent; D001983:Bronchial Fistula / Q000209:etiology; D004653:Empyema / Q000209:etiology*; D005402:Fistula / Q000209:etiology; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D008168:Lung; D008297:Male; D010995:Pleural Diseases / Q000209:etiology; D006109:Poaceae; D013290:Streptococcal Infections; D013291:Streptococcus