Abstract
Pneumococcal parapneumonic effusions are thought to be uncommon. Considering the frequency off pleuritic pain and the proposed pathogenesis off pneumococcal pneumonia, a higher incidence was suspected. Thirty-five consecutive patients with pneumonia due to Streptococcus pneumoniae were studied prospectively utilizing frequent chest x-ray films, including lateral decubitus views. Twenty (57 percent) of the 35 patients had parapneumonic effusions. The presence of parapneumonic effusions correlated significantly with the duration of symptoms before admission, bacteremia, and prolonged fever after therapy (P
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