21st June 2024

A patient is admitted with fevers over the past seven days. They recently were diagnosed with HIV

A patient is admitted with fevers over the past seven days. They recently were diagnosed with HIV as part of a sexual health screen on arrival to the United Kingdom. Their initial lab results have returned (below)

HIV-1 viral load: 8,502 copies per mL

CD4+ count: 102 cells per mm³ (11%)

Serum creatinine: 121 umol/L

Hepatitis C antibody: Negative

Toxoplasmosis gondii IgG: Negative

Hepatitis B surface antigen: Negative

Hepatitis B anti-core antibody: Positive

Serum β-d-glucan: 100 pg/mL

A plain film of the chest is awaited.

Invasive infections with which of the following organisms is not supported by the β-d-glucan value supplied above?

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