Streptococcus milleri empyema.
A 58-year-old woman who had recurrent aspiration due to atlantoaxial subluxation, a complication of rheumatoid arthritis, had S milleri empyema. This organism has been associated with purulent disease in previous series, and may be a relatively common but unrecognized cause of empyema.
D001172:Arthritis, Rheumatoid / Q000150:complications / Q000601:surgery; D001268:Atlanto-Axial Joint / Q000293:injuries; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery; D008875:Middle Aged; D011656:Pulmonary Emphysema / Q000209:etiology* / Q000382:microbiology; D013290:Streptococcal Infections / Q000209:etiology* / Q000382:microbiology