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Warning-sign checks

Histoplasmosis - acute (primary) pulmonary: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for severe difficulty breathing, blue or grey lips, fainting, new confusion, or severe chest pressure.

    And for anyone, someone who:

    • is bleeding heavily and it will not stop with firm pressure
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice if:

    • Breathlessness is new or getting worse
    • Fever is persistent or returns after improving
    • You cannot keep down enough fluids
    • You cough up blood
    • Symptoms continue for several weeks
    • You develop possible antifungal side effects, such as yellow skin or eyes

    These can be signs of dangerously low oxygen or another urgent condition.

    And for anyone, someone who:

    • has a wound that is hot, spreading red, or leaking pus
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a medical assessment if you develop fever, cough, chest discomfort, or unusual tiredness after disturbing soil or bird or bat droppings.

    This is especially important if symptoms are not improving, several people from the same activity are ill, or you have a weakened immune system.

    Routine follow-up is appropriate when symptoms are steadily improving and you have no warning signs.

    Keep planned appointments if you are taking antifungal medicine or have been asked to repeat blood tests or imaging.

Every sign above is quoted from the sofidex article on Histoplasmosis - acute (primary) pulmonary. If you are not sure, err upward — it is always reasonable to be checked.