Abstract
INTRODUCTION: In patients with Achalasia Cardia regurgitation of retained esophageal contents results in pneumonia; airway injury in the form of bronchitis, bronchiolitis and bronchiectasis and diffuse and localized alveolar injury leading to chemical pneumonitis, ARDS and lipoid pneumonia. Respiratory infections are caused by the pathogenic oral flora. We describe a patient at risk for aspiration due to Achalasia Cardia who developed an empyema due to infection by streptococcus morbillorum usually a gastric saprophyte possibly made virulent by the fatty nature of aspirate matter.
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