A 27-Year-Old Man Is Brought to the Hospital After Having

A 27-year-old man is brought to the hospital after having a generalized tonic-clonic seizure an hour ago.  The patient has no chronic medical conditions and takes no medication.  He emigrated from Nicaragua to the United States 5 years ago.  Vital signs are within normal limits.  Complete neurologic examination reveals no abnormalities.  A CT scan of the head is shown in the image below. Complete blood count and cerebrospinal fluid evaluation are within normal limits.  Which of the following is the most likely diagnosis?

A) Cryptococcosis
B) Miliary tuberculosis
C) Neurocysticercosis
D) Neurosyphilis
E) Toxoplasmosis

Correct Answer:

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