Case Report: Clinical Case Report of Community-Acquired Pneumonia with Parapneumonic Effusion and Multiple Comorbidities in a Middle-Aged Male
DOI:
https://doi.org/10.53366/jimki.v12i3.984Keywords:
community-acquired pneumonia, parapneumonic effusion, congestive heart failure, diabetes mellitus, hepatobiliary insufficiencyAbstract
Community-acquired pneumonia (CAP) complicated by parapneumonic pleural effusion presents significant management challenges, especially in patients with multiple comorbidities such as congestive heart failure (CHF), type 2 diabetes mellitus (DM), and hepatobiliary insufficiency. A 42-year-old male security officer presented with progressive dyspnea, productive cough with hemoptysis, and right pleural effusion. Examination revealed asymmetrical thorax, signs of right-sided pleural effusion, hepatomegaly, ascites, and pitting edema. Laboratory findings showed leukocytosis, hypoalbuminemia, hyponatremia, and impaired liver and kidney function. Imaging confirmed community-acquired pneumonia (CAP) with right parapneumonic effusion. Echocardiography showed congestive heart failure (CHF) with reduced ejection fraction (19%) and intracardiac thrombi. Treatment included oxygen therapy, antibiotics, diuretics, insulin, and supportive care. The patient improved gradually, emphasizing the need for a multidisciplinary approach in managing CAP with pleural effusion and underlying comorbidities.
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