Johns Hopkins ABX Guide
Empyema and Parapneumonic Effusions
Empyema and Parapneumonic Effusions is a topic covered in the Johns Hopkins ABX Guide.
To view the entire topic, please sign in or purchase a subscription.
Official website of the Johns Hopkins Antibiotic (ABX), HIV, Diabetes, and Psychiatry Guides, powered by Unbound Medicine. Johns Hopkins Guide App for iOS, iPhone, iPad, and Android included. Explore these free sample topics:
-- The first section of this topic is shown below --
PATHOGENS
- S. pneumoniae and other streptococci (50%)
- Streptococcus intermedius complex ([previously S. milleri], S. anginosus, S. constellatus) now dominates in community-acquired cases
- S. aureus including MRSA (10%)
- Anaerobes (20%)
- Gram-negative bacilli (GNB, 10%)
- Noscomial: Gram-negative bacilli and S. aureus (MRSA)
- Rare causes:
- Mycobacterium tuberculosis
- Enterococcus
- Actinomyces
- Other: viruses are a highly unusual cause except for influenza complicated by bacterial superinfection
- Fungi: rare except immunocompromised hosts
- Parasites:
- Echinococcus
- Entamoeba histolytica
- Paragonimus westermani
- Major causes in CAP: S. pneumoniae, streptococcal species, S. aureus and anaerobic bacteria (polymicrobial).
- Fulminant course in healthy host: usually MRSA, especially if following influenza as a bacterial superinfection.
-- To view the remaining sections of this topic, please sign in or purchase a subscription --
Last updated: August 9, 2019
Citation
Auwaerter, Paul G, and John G Bartlett. "Empyema and Parapneumonic Effusions." Johns Hopkins ABX Guide, The Johns Hopkins University, 2019. Johns Hopkins Guide, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540188/all/Empyema_and_Parapneumonic_Effusions.
Auwaerter PG, Bartlett JG. Empyema and Parapneumonic Effusions. Johns Hopkins ABX Guide. The Johns Hopkins University; 2019. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540188/all/Empyema_and_Parapneumonic_Effusions. Accessed December 14, 2019.
Auwaerter, P. G., & Bartlett, J. G. (2019). Empyema and Parapneumonic Effusions. In Johns Hopkins ABX Guide. Available from https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540188/all/Empyema_and_Parapneumonic_Effusions
Auwaerter PG, Bartlett JG. Empyema and Parapneumonic Effusions [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2019. [cited 2019 December 14]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540188/all/Empyema_and_Parapneumonic_Effusions.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Empyema and Parapneumonic Effusions
ID - 540188
A1 - Auwaerter,Paul,M.D.
AU - Bartlett,John,M.D.
Y1 - 2019/08/09/
BT - Johns Hopkins ABX Guide
UR - https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540188/all/Empyema_and_Parapneumonic_Effusions
PB - The Johns Hopkins University
DB - Johns Hopkins Guide
DP - Unbound Medicine
ER -