A 54 year old male patient was seen in the ER with a fever…

  A 54 year old male patient was seen in the ER with a fever and a headache.  For 2 weeks he experienced lethargy, intermittent, low grade fever not associated with chills, and a constant dull ache, progressively increasing in severity.  A review of his prior medical records showed that he was HIV positive.  Above is an india ink preparation made from cerebrospinal fluid collected in the ER.  What is the presumptive identification of the organism present in this specimen?  (17.14)