30th July 2023

A 62 year old woman is seen in A&E with a three week history of cough, chest pain, and fever

A 62 year old woman is seen in A&E with a three week history of cough, chest pain, and fever, having recently returned from a retirement tour of the Deep South of America, where she and her husband travelled in a campervan. Following assessment, she is discharged home with respiratory follow up arranged. However, a week later, she became acutely unwell, with profound shortness of breath and a high fever. Blood cultures grow Histoplasma capsulatum.

Which of the following statements about management is most correct?

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