NSAIDs, pneumonia and empyema: an ongoing confrontation
Over the past twenty years, the worldwide increase in cases of pleural empyema and complicated pneumonia by Streptococcus pneumoniae in children has attracted much epidemiological and clinical attention.1 In fact, particularly invasive and/or pathogenic serotypes have emerged – especially serotypes 1, 19A, 3, 14 and 7F – absent in the commonly used heptavalent vaccine (PCV7) and then included in the 13-valent vaccine, which has been improved with even more serotypes in the 23-valent. The causes behind this increase are not completely clear yet.