Gram – Pleural fluid: neutrophils and gram positive cocci (Staphylococcus aureus) – Shipped August 2013
A simulated pleural fluid smear collected post thoracotomy from a 76 year-old male was sent to category A, B, C, and C1 laboratories for Gram staining.
MAIN EDUCATIONAL POINTS from GS132-2
- Thoracic empyema is associated with a high risk for a poor outcome and must be managed by pleural fluid evacuation in addition to appropriate antibiotic therapy.
- Staphylococccal empyema is more commonly seen in the hospital setting, and is associated with high mortality.