I have had a 45 year old lady on the ward the last 10 days with Congestive Heart Failure. She has not responded well to conventional treatment. I was concerned she may have Pericardial TB, especially after her HIV test was positive.
Today I did an ultrasound on her and it appeared she had fluid around her heart with a thickened pericardium(consistent with pericarditis). I started her on TB drugs today and hope to see an improvement in the next week.
Whenever things don't make sense medically it becomes prudent to check an HIV test.