Exudative Effusion | Infection: Empyema

Etiology

  • Fluid infected, most often a complication of pneumonia
  • Common bacterial organisms: h flu, strep, staph, other
  • Infection can be introduced also via trauma, procedures, hematogenous spread
  • Anaerobes/gnrs less common--> assoc w/aspiration
  • Mycobacteria associated w/acute or chronic TB; often frail/compromised
  • Fungal→ immunocompromised/chronic

Symptoms

  • F
  • Cough
  • Chest pain
  • Sputum
  • SOB
  • Often acutely ill

Physical Exam Findings

  • Fever
  • Ill appearing
  • Decreased breath sounds over effusion, dullness
  • Other findings based on magnitude of illness, co-existent pneumonia