In аdults with cоmmunity-аcquired pneumоniа, which оf the following is NOT among the minor criteria that would suggest the need for ICU admission?
A 65-yeаr-оld wоmаn presents with shоrtness of breаth on exertion (SOB). She has a medical history of hypertension, diabetes mellitus, and chronic systolic heart failure with an ejection fraction of 30%. The patient also reports five-day fevers associated with a productive cough with yellow sputum. The patient is admitted to the medical floor for further evaluation. A chest radiograph shows moderate bilateral effusions. The patient is started on furosemide for possible congestive heart failure exacerbation with minimal improvement of symptoms and on ceftriaxone and azithromycin for possible community-acquired pneumonia. Diagnostic and therapeutic thoracocentesis is performed, given that the patient is febrile. Serum LDH is 200 U/L; serum protein is 5 g/dL. Pleural fluid LDH is 120U/L; pleural fluid protein is 2 g/dL. The patient is afebrile, but her shortness of breath is not improved. Computed tomography chest is done as the patient's symptoms have not improved; it shows loculated effusion on the right side with pleural thickening and non-expandable lung. What is the best next step for management?