<prompt> Chest tube inseion in a case of effusion caused due to pneumococcal pneumonia is indicated in all pleural fluid findings, EXCEPT:pH 7.4Frank pusCulture positiveNone of the above  <response>: Empyema is the most common focal complication of pneumococcal pneumonia, occurring in 5 of cases. When fluid in the pleural space is accompanied by fever and leukocytosis after 4-5 days of appropriate antibiotic treatment empyema should be considered. Pleural fluid with frank pus, bacteria detected by microscopic examination pH of 7.1 indicates empyema and demands chest tube inseion. Ref: Harisson, Edition - 18, Page 1155 