Thoracic empyema due to Streptococcus milleri: four cases.
Four cases of Streptococcus milleri empyema occurring over a six month period are reported. Empyema was post-pneumonic in three patients and followed blunt abdominal and chest trauma in one patient. There was an absence of serious underlying disease in these patients and management consisted of tube drainage, lavage of the pleural space and prolonged intrapleural and systemically administered antibiotic therapy. Complete recovery was achieved in three patients and a satisfactory result in the other without surgical intervention. The clinical and microbiological features of this group of patients are reviewed.
D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D004322:Drainage; D004653:Empyema / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007267:Injections; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D010994:Pleura; D013290:Streptococcal Infections / Q000628:therapy; D007507:Therapeutic Irrigation; D013997:Time Factors
D000900:Anti-Bacterial Agents