A 35-year-old man with HIV has a CD4 count of 80 per microlitre, headache and a positive India ink stain of the cerebrospinal fluid. What is the diagnosis?

Answer and explanation

Correct answer: C. Cryptococcal meningitis

  1. Step 1: Encapsulated yeasts on India ink indicate Cryptococcus. Answer: Cryptococcal meningitis. Why not the others: Toxoplasmosis, Tuberculous meningitis and Progressive multifocal leukoencephalopathy don't fit.

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