Last Friday evening I was called to see Oliver, a 32 year old man. He had been having headaches for a month and had been seen at another hospital on 5 occasions for these headaches. He had been treated for malaria, typhoid and migraines, but the headaches continued. Friday afternoon Oliver became confused and began throwing up.
His family then brought him to St. Martin de Porres Hospital. I did a lumbar puncture and Oliver had Cryptococcal Meningitis along with HIV. He was started on medication Saturday and became oriented by Monday.
Today, he is feeling much better with some mild headache. He is doing amazingly well for a bad combination of illnesses.