A Case Report on Management of Severe Acute Respiratory Infection (SARI) with Pericardial Effusion in a case with Hypothyroidism, Hypertension and Type-2 Diabetes Mellitus.

Abstract

Background: Severe Acute Respiratory Infections is acute respiratory infection with fever, cough, shortness of breath, or difficulty in breathing requiring admission to hospital. Hypothyroidism is a most common cause of pericardial effusion & it can also cause cardiac tamponade in severe cases.

Patient Information: A 68 year old women registered to the EMD with history of chest pain and weakness for 3 days, she was known case of Hypertension and Hypothyroidism from last 3 years and Diabetes Mellitus (DM) Type 2 since 25 years, on medication.

Diagnosis: After all general, physical examination and investigation done and she has diagnosed a Severe Acute Respiratory Infections With Pericardial Effusion.

Therapeutic Management and Outcomes:  Inj. Insulin R, inj. Levoflox 50mg  OD ,inj. Meropenem 1gm TDS, Inj. Doxy 10mg BD, Inj. Lasix 20mg BD, tab. Thyrox 75mg OD, tab. Ecosprin AV 75/20 HS, Tab. Thyrox 75 Mg Od,  Tab. Telma H Od, Tab Dolo 650 Mg Stat, Syp. Kesol 2 tsp Tds, Tab. Metornol 25 Mg bd, Vitamin D3 60000 IU Once A Week, vitamin c & Zinc supplement was given. All the treatment was taken and she recovered slowly from symptoms.

Conclusion: In this case, a patient has a severe acute respiratory infection in a pericardial effusion with hypertension, hypothyroidism, and DM type 2 and after taking treatment patient symptom was slowly resolve.