Abstract
Two serotypes, uncommon in pediatric infections, accounted for a disproportionately large number of cases of pneumococcal empyema at the Children's Hospital of Pittsburgh. Eight of ten empyemas were caused by types 1 or 3, and two additional cases of mixed infection involved the type 3 pneumococcus. The type 3 pneumococcal empyemas tended to be more severe than those due to other serotypes. Counterimmunoelectrophoresis (CIE) appeared to be more useful than culture in establishing the cause of this condition; in seven of ten cases, the pleural fluid was CIE positive while cultures of blood and pleural fluid were negative. In each of the seven culture-negative cases, antibiotics had been given prior to hospitalization. One case of type 7 pneumococcal empyema illustrated the potential value of the Ouchterlony test for the etiologic diagnosis of this condition.
Original language | English (US) |
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Pages (from-to) | 1094-1096 |
Number of pages | 3 |
Journal | American Journal of Diseases of Children |
Volume | 132 |
Issue number | 11 |
DOIs | |
State | Published - Nov 1978 |
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health