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birdseed agar is diagnostic for cryptococcus neoformans b/c it is able to metabolize whatever it is in the seed and shows the pigment.
If the dude has cryptococcus in his skin, that's really bad b/c it's usually disseminated from the lungs, right?
A diagnosis of cryptococcosis of the skin was made. I believe it's inhaled into the lungs, where it can cause a pneumonia. From the lungs, it can hematogenously disseminate to other organs, such as the skin. After interrogating the patient, he revealed that he enjoys feeding the pigeons that frequent the ER.