Community Acquired Pneumonia pada Lansia
Main Article Content
Community Acquired Pneumonia (CAP) causes high morbidity and mortality worldwide, especially in elderly patients. Establishing a diagnosis of CAP in elderly patients is a challenge for clinicians considering that the symptoms are not always typical and specific. The following is a case report of a 72-year-old woman with a diagnosis of CAP without any previous complaints of shortness of breath. There is an infiltrate on chest X-ray and symptoms of cough, productive sputum, fever, and leukocytosis confirm the diagnosis of CAP in this patient. The patient was given antibiotic levofloxacin 1 x 750 mg until Klebsiella pneumoniae was found in the sputum culture results.
Keywords:
Community Acquired Pneumonia, Geriatric
Anderson, K. F., Lonsway, D. R., Rasheed, J. K., Biddle, J., Jensen, B., McDougal, L. K., Carey, R. B., Thompson, A., Stocker, S., & Limbago, B. (2007). Evaluation of methods to identify the Klebsiella pneumoniae carbapenemase in Enterobacteriaceae. Journal of Clinical Microbiology, 45(8), 2723–2725.
Chung, Kian Fan, Widdicombe, John G., & Boushey, Homer A. (2003). Cough: Causes, Mechanisms and Therapy.
Fernández-Sabé, Núria, Carratalà, Jordi, Rosón, Beatriz, Dorca, Jordi, Verdaguer, Ricard, Manresa, Frederic, & Gudiol, Francesc. (2003). Community-acquired pneumonia in very elderly patients: causative organisms, clinical characteristics, and outcomes. Medicine, 82(3), 159–169.
García-Guevara, G., Ríos-Corzo, R., Díaz-Mora, A., López-López, M., Hernández-Flores, J., Fragoso-Loyo, H., Ávila-Vázquez, J., Pulido-Ramírez, A. L., Carrillo-Maravilla, E., & Jakez-Ocampo, J. (2018). Pneumonia in patients with systemic lupus erythematosus: epidemiology, microbiology and outcomes. Lupus, 27(12), 1953–1959.
Glaziou, Philippe, Falzon, Dennis, Floyd, Katherine, & Raviglione, Mario. (2013). Global epidemiology of tuberculosis. Seminars in Respiratory and Critical Care Medicine, 34(01), 3–16. Thieme Medical Publishers.
Liusen, Jessieca. (2022). Peran Pemeriksaan Radiologi pada Penanganan Kegawatdaruratan Pneumothorax Sekunder pada Pneumonia COVID-19. Cermin Dunia Kedokteran, 49(4), 223–225.
Metlay, Joshua P., Waterer, Grant W., Long, Ann C., Anzueto, Antonio, Brozek, Jan, Crothers, Kristina, Cooley, Laura A., Dean, Nathan C., Fine, Michael J., & Flanders, Scott A. (2019). Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. American Journal of Respiratory and Critical Care Medicine, 200(7), e45–e67.
Muztika, Suci Alillah, Nasrul, Ellyza, & Alia, Eugeny. (2020). Prevalensi dan Pola Sensitivitas Antibiotik Klebsiella pneumoniae dan Escherichia coli Penghasil Extended Spectrum Beta Laktamase di RSUP Dr. M Djamil Padang. Jurnal Kesehatan Andalas, 9(2), 189–194.
Niederman, Michael S., & Torres, Antoni. (2022). Severe community-acquired pneumonia. European Respiratory Review, 31(166).
Rajeshbabu, Patturajan, Ayyanar, Muniappan, Rasool, Shaik Khaja, Sheriff, Mehboob Azrar, & Sekar, Thangavel. (2011). In vitro antibacterial activity of Piper betle L. and black betel CV. Kammar leaves against Staphylococcus aureus and Streptococcus pneumoniae. Journal of Pharmacy Research, 4(7), 2223–2225.
Sari, Mecy Alvinda, Raveinal, Raveinal, & Noverial, Noverial. (2018). Derajat Keparahan Pneumonia Komunitas pada Geriatri Berdasarkan Skor CURB-65 di Bangsal Penyakit Dalam RS. Dr. M. Djamil Padang Tahun 2016. Jurnal Kesehatan Andalas, 7(1), 102–107.
Shah, Bashir Ahmed, Ahmed, Wasim, Dhobi, Ghulam Nabi, Shah, Naveed Nazir, Khursheed, Syed Quibtiya, & Haq, Inaamul. (n.d.). Validity of pneumonia severity index and CURB-65 severity scoring systems in community acquired pneumonia in an Indian setting. The Indian Journal of Chest Diseases & Allied Sciences, 52(1), 9–17.
Snow, Kathryn J., Cruz, Andrea T., Seddon, James A., Ferrand, Rashida A., Chiang, Silvia S., Hughes, Jennifer A., Kampmann, Beate, Graham, Steve M., Dodd, Peter J., & Houben, Rein M. (2020). Adolescent tuberculosis. The Lancet Child & Adolescent Health, 4(1), 68–79.
Wang, Z., Qiang, W., & Ke, H. (2020). A Handbook of 2019-nCoV Pneumonia Control and Prevention. Hubei Science and Technology Press, 1–108.
Yilmaz, Hatice Eylül BOZKURT. (2021). Factors Affecting Mortality In Geriatric Patients Diagnosed With Community-Acquired Pneumonia Treated In Intensive Care Units. Turk. Geriatr. Derg, 24, 212–219.
Chung, Kian Fan, Widdicombe, John G., & Boushey, Homer A. (2003). Cough: Causes, Mechanisms and Therapy.
Fernández-Sabé, Núria, Carratalà, Jordi, Rosón, Beatriz, Dorca, Jordi, Verdaguer, Ricard, Manresa, Frederic, & Gudiol, Francesc. (2003). Community-acquired pneumonia in very elderly patients: causative organisms, clinical characteristics, and outcomes. Medicine, 82(3), 159–169.
García-Guevara, G., Ríos-Corzo, R., Díaz-Mora, A., López-López, M., Hernández-Flores, J., Fragoso-Loyo, H., Ávila-Vázquez, J., Pulido-Ramírez, A. L., Carrillo-Maravilla, E., & Jakez-Ocampo, J. (2018). Pneumonia in patients with systemic lupus erythematosus: epidemiology, microbiology and outcomes. Lupus, 27(12), 1953–1959.
Glaziou, Philippe, Falzon, Dennis, Floyd, Katherine, & Raviglione, Mario. (2013). Global epidemiology of tuberculosis. Seminars in Respiratory and Critical Care Medicine, 34(01), 3–16. Thieme Medical Publishers.
Liusen, Jessieca. (2022). Peran Pemeriksaan Radiologi pada Penanganan Kegawatdaruratan Pneumothorax Sekunder pada Pneumonia COVID-19. Cermin Dunia Kedokteran, 49(4), 223–225.
Metlay, Joshua P., Waterer, Grant W., Long, Ann C., Anzueto, Antonio, Brozek, Jan, Crothers, Kristina, Cooley, Laura A., Dean, Nathan C., Fine, Michael J., & Flanders, Scott A. (2019). Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. American Journal of Respiratory and Critical Care Medicine, 200(7), e45–e67.
Muztika, Suci Alillah, Nasrul, Ellyza, & Alia, Eugeny. (2020). Prevalensi dan Pola Sensitivitas Antibiotik Klebsiella pneumoniae dan Escherichia coli Penghasil Extended Spectrum Beta Laktamase di RSUP Dr. M Djamil Padang. Jurnal Kesehatan Andalas, 9(2), 189–194.
Niederman, Michael S., & Torres, Antoni. (2022). Severe community-acquired pneumonia. European Respiratory Review, 31(166).
Rajeshbabu, Patturajan, Ayyanar, Muniappan, Rasool, Shaik Khaja, Sheriff, Mehboob Azrar, & Sekar, Thangavel. (2011). In vitro antibacterial activity of Piper betle L. and black betel CV. Kammar leaves against Staphylococcus aureus and Streptococcus pneumoniae. Journal of Pharmacy Research, 4(7), 2223–2225.
Sari, Mecy Alvinda, Raveinal, Raveinal, & Noverial, Noverial. (2018). Derajat Keparahan Pneumonia Komunitas pada Geriatri Berdasarkan Skor CURB-65 di Bangsal Penyakit Dalam RS. Dr. M. Djamil Padang Tahun 2016. Jurnal Kesehatan Andalas, 7(1), 102–107.
Shah, Bashir Ahmed, Ahmed, Wasim, Dhobi, Ghulam Nabi, Shah, Naveed Nazir, Khursheed, Syed Quibtiya, & Haq, Inaamul. (n.d.). Validity of pneumonia severity index and CURB-65 severity scoring systems in community acquired pneumonia in an Indian setting. The Indian Journal of Chest Diseases & Allied Sciences, 52(1), 9–17.
Snow, Kathryn J., Cruz, Andrea T., Seddon, James A., Ferrand, Rashida A., Chiang, Silvia S., Hughes, Jennifer A., Kampmann, Beate, Graham, Steve M., Dodd, Peter J., & Houben, Rein M. (2020). Adolescent tuberculosis. The Lancet Child & Adolescent Health, 4(1), 68–79.
Wang, Z., Qiang, W., & Ke, H. (2020). A Handbook of 2019-nCoV Pneumonia Control and Prevention. Hubei Science and Technology Press, 1–108.
Yilmaz, Hatice Eylül BOZKURT. (2021). Factors Affecting Mortality In Geriatric Patients Diagnosed With Community-Acquired Pneumonia Treated In Intensive Care Units. Turk. Geriatr. Derg, 24, 212–219.
