mustofa, syazili and Putri, Giska Tri and Busman, Hendri (2026) Case Report: Clinical Case Report of Community-Acquired Pneumonia with Parapneumonic Effusion and Multiple Comorbidities in a Middle-Aged Male. JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia, 12 (3). pp. 1187-1203. ISSN 2021-1924

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Abstract

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.

Item Type:	Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Fakultas Kedokteran (FK) > Prodi Pendidikan Dokter
Depositing User:	Dr.Si. dr. Syazili Mustofa
Date Deposited:	31 Aug 2026 03:00
Last Modified:	31 Aug 2026 03:00
URI:	http://repository.lppm.unila.ac.id/id/eprint/54930

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