d anaerobic culture ( 厌氧培养) techniques,however,the mon isolates from adult empyemas are now anaerobic bacteria,particularly bacterioides species as well as fusobacterium ( 梭杆菌) and us ( 消化球菌) species. ? us ( 葡萄球菌) is the mon organism causing empyema in the recent years. Gram - negative bacteria also continue to be significant pathogens. Company Logo Clinical findings ? Athough patients may rarely pletely asmptomatic,most patients with thoracic empyemas present with varying symptoms depending on the underlying disease process, the extent of the pleural involvement, and the immunologic state of the patient. ? Symptoms: Patients plain of fever,pleuritic chest pain or a sense of chest heaviness,dyspnea,hemoptysis,and a cough usually productive of purulent sputum.