PMC6458939_01
(a) Chest radiograph showing diffuse micronodules. (b) Axial view of the CT chest scan showing diffuse micronodules in a miliary pattern.
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fig1
TB and tuberculous meningitis due to recent travel to Ghana, and the initial chest X-ray showed multiple nodular opacities suggestive of miliary TB (Figure 1(a)). The micronodular appearance was confirmed by a chest CT scan without contrast (Figure 1(b)).
(a) Mucicarmine stain of the TBBx showing C. neoformans pleomorphic, single, and budding yeasts and filamentous pseudohyphae (400x magnification). (b) Mucicarmine stain of the TBBx showing C. neoformans yeasts and pseudohyphae with characteristic mucinous capsules (1000x magnification).
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fig2
Higher magnification microscopy showed the presence of both hyphae and yeast cells (Figures 2(a) and 2(b)).