What question did this study set out to answer?

To report a unique case of massive empyema associated with milky pleural effusion caused by Streptococcus viridans.

March 29, 2026Open Access

Milky Effusion in Giant Empyema Caused by Streptococcus viridans

GLGuo LiXi’an University of Posts and Telecommunications MPMin PangNanchong Central Hospital MYMingming YangChina Institute of Water Resources and Hydropower Research

Key Points

To report a unique case of massive empyema associated with milky pleural effusion caused by Streptococcus viridans.
Case report on a patient with empyema
Biochemical analyses of pleural fluid
Microbiological analyses to identify causative organism
Diagnosis confirmed as empyema caused by Streptococcus viridans
Pleural fluid presented as milky
Key biochemical tests helped distinguish empyema from chylothorax

Abstract

ABSTRACT Milky pleural effusion usually suggests chylothorax. We report a case of massive empyema caused by Streptococcus viridans presenting with milky pleural fluid. Biochemical and microbiological analyses were essential to establish the diagnosis and distinguish empyema from chylothorax.

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