Table 1 Summary of investigations

Complete blood count

RBC depleted at 2.91 × 10⁶/mL

HGB depleted at 9.4 g/dL

HCT depleted at 27.3%

Kidney Function

BUN elevated at 138.5 mg/dL

Creatinine elevated at 2.0 mg/dL

Albumin

3.5 g/dL

Electrolyte

K⁺ slight decreased at 3.1 mEg/L

Autoimmune

 ANA (IF)

Speckled pattern with a titer of 1:100

Imaging

CXR:

 Suggestive right pleuropneumonia

 Left massive pleural effusion

Echocardiogram:

 Circumferential pericardial effusion (Mild)

 Decreased right ventricular systolic function

 Left ventricular diastolic dysfunction grade III