GS132-2

Gram – Pleural fluid: neutrophils and gram positive cocci (Staphylococcus aureus)  – Shipped August 2013

HISTORY

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

  1. 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.
  2. Staphylococccal empyema is more commonly seen in the hospital setting, and is associated with high mortality.

 

Full critique (PDF)

Posted in Clinical Bacteriology Results, critiques, Gram