A 3-month-old boy present...

A 3-month-old boy presented with complaints of shortness of breath since 1 day before admission. The patient also reported fever, cough with phlegm, and a runny nose for the past 2 days. Upon physical examination, the patient weighed 4.2 kg and measured PB 60 cm (Z-score BB/PB <-2SD), with thin and dry hair, subcostal and intercostal retractions, coarse wet rales, and wheezing in both lung fields. Additionally, a grade III/VI pansystolic murmur at SIC IV linea parasternalis left was detected. Thorax photographs revealed infiltrates in both lung fields. Laboratory results showed a hemoglobin level of 10.4 g/dL, leukocytes at 12.94 cells/μL, hematocrit at 31%, platelets at 6.09 Lakh/μL, and CRP at 10.63. The leukocyte type count indicated basophils 0%, eosinophils 0%, rods 0, segments 56, lymphocytes 34%, and monocytes 10%. Sputum culture results identified Candida Sp. The patient received treatment in the ICU on a ventilator for 7 days and was administered fluconazole therapy (1x50mg) for 14 days. After 23 days of treatment, the patient showed improvement and could be discharged as an outpatient. The presence of PJB and poor nutrition in the patient constitutes risk factors for pneumonia, leading to more severe clinical manifestations and prognosis.