Newly Diagnosed HIV and Active Tuberculosis: Antiretroviral Therapy and Co-trimoxazole Prophylaxis

Case-Based Modules
Initial Evaluation
Dermatologic Manifestations
Oral Manifestations
OIs: Prophylaxis
OIs: Treatment
Antiretroviral Rx
Antiretroviral Rx: Resistance
Antiretroviral Rx: Adverse Effects
Drug-Drug Interactions
Postexposure Prophylaxis
Perinatal Transmission
Special Populations
Prevention for Positives
Challenging Unknowns
Resource-Limited Settings
Interactive Tutorials
Routine HIV Screening
Oraquick Advance Rapid HIV Test
HIV Integration
This program is funded through Health Resources and Services Administration, US Department of Health and Human Services.

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Newly Diagnosed HIV and Active Tuberculosis: Antiretroviral Therapy and Co-trimoxazole Prophylaxis

You answered:

	Start antiretroviral therapy after he has completed treatment for TB (6 months of directly observed therapy).

This answer is incorrect. Delaying antiretroviral therapy substantially in HIV-infected persons with a low CD4 count and active TB has been associated with high mortality rates.

Choose another answer:

	Start antiretroviral therapy after he has completed the first 2 months of directly observed therapy for TB.
	Start antiretroviral therapy as soon as possible (within 2 to 8 weeks) following initiation of directly observed therapy for TB.
	Start antiretroviral therapy immediately and interrupt TB therapy until his CD4 count has risen to at least 200 cells/mm³.

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Resource-Limited Settings

Newly Diagnosed HIV and Active Tuberculosis: Antiretroviral Therapy and Co-trimoxazole Prophylaxis