PMC6106961_01
India ink preparation demonstrating numerous budding yeast cells surrounded by capsular halo consistent with the identification of Cryptococcus species. X100.
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fig1
CSF demonstrated numerous budding yeast cells [Figure 1] consistent with morphologic identification of Cryptococcus species, confirming the clinical diagnosis. CSF fungal culture was not done.
A map of Uganda showing the patient's hometown and the two regional referral hospitals where she could access HIV and cryptococcal meningitis care from.
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fig2
She comes from Packwach, West Nile (~120KM from Gulu) [Figure 2], and was working as a bar waitress to earn a living in Gulu. Through connections with another patient's caretaker, her brother was contacted and he requested that she is discharged and transferred for further care at Arua Regional Referral Hospital (~107KM from Pakwach) [Figure 2], as they did not have the financial resources to sustain her in Gulu.