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Causes of an Empyema. Most cases of an empyema are related to bacterial pneumonia (infection of the lung). Pneumonia tends to cause a pleural effusion â para-pneumonic effusion. This can be uncomplicated (containing exudate), complicated (exudate with high concentrations of neurophils) or empyema thoracis (pus in the pleural space).
An empyema (from Greek á¼Î¼ÏÏÎ·Î¼Î±, abscess) is a collection or gathering of pus within a naturally existing anatomical cavity. For example, pleural empyema is empyema of the pleural cavity. It must be differentiated from an abscess, which is a collection of pus in a newly formed cavity.