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Image Challenge A 55-year-old kidney-transplant recipient presented with headache and fever.

A 55-year-old kidney-transplant recipient presented with headache and fever.

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Question

A 55-year-old kidney-transplant recipient presented with headache and fever. The cerebrospinal fluid contained 84 percent neutrophils. What is the most likely diagnosis?

Nocardia asteroides infection

Cerebral toxoplasmosis

Listeria moncytogenes infection

Miliary tuberculosis

Cryptococcus neoformans infection

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