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 50 mg OD,inj. Meropenem 1gm TDS, Inj. Doxy 10 mg BD, Inj. Lasix 20 mg BD, tab. Thyrox 75 mg 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.