30th July 2023

A 52 year old man has recently returned from a holiday to the US, where he competed in the Amateur Fly Fishing World Championships (2)

A 52 year old man has recently returned from a holiday to the US, where he competed in the Amateur Fly Fishing World Championships. For the past week, he has had a cough, felt generally unwell, and complained of a dull, intermittent chest pain. Testing confirms a diagnosis of histoplasmosis.

A month later, he re-presents and still suffers from these symptoms.

What is the treatment of choice?

Select the SINGLE most appropriate option from the list below. Select ONE option only.