"CURB" your enthusiasm and consider HIV

Phillip Jacobs, Barnet Hospital Education Centre, Wellhouse Lane, Barnet EN5 3D, Michael A Beckles, Abtehale Al-hussaini, Department of Acute Medicine, Royal Free Hospital, Department of Acute Medicine, Royal Free Hospital
2009 Acute medicine  
We present the case of a 40-year old female who was initially seen by her GP and the Emergency Department with pneumonia failing to respond to oral antibiotics. Her severity assessment score categorised her as being in a low risk group and she was discharged. Subsequent admission and further investigations diagnosed Human Immunodeficiency Virus infection and Pneumocystis jeruvici pneumonia. It is important for emergency departments and acute physicians to apply risk validation tools appropriately and to be alert to underlying immunosuppression.
doi:10.52964/amja.0248 fatcat:czw7x2hjxbfeljjwtfmxjyymfy