The contribution of leukocytes and bacteria to the low pH of empyema fluid

Academic Article

Abstract

  • Empyema fluid characteristically has a low pleural fluid pH, and it has been demonstrated that this has a high acid-generating capacity. To evaluate the contribution of leukocytes and bacteria to the low pH of empyema fluid, an experimental model of empyema was used. After the production of a sterile pleural effusion by turpentine in both normal and neutropenic New Zealand white rabbits, either live Streptococcus pneumoniae, killed Streptococcus pneumoniae, or Acinetobacter, an organism that does not undergo fermentation or produce substantial acid were injected into the pleural fluid. With these manipulations, the contribution of leukocytes and bacteria alone could be assessed. The results showed that both leukocyte phagocytosis and bacterial metabolism contribute to the pH of empyema fluid and that the number of polymorphonuclear leukocytes per se in clinically observed ranges is not critical to the change in pleural fluid pH.
  • Author List

  • Sahn SA; Reller LB; Taryle DA; Antony VB; Good JT
  • Start Page

  • 811
  • End Page

  • 815
  • Volume

  • 128
  • Issue

  • 5