The patient has a history and supporting data consistent with active pulmonary tuberculosis (TB) and HIV infection, both of which must be treated. The concomitant treatment of both diseases has produced paradoxical reactions; by delaying highly active antiretroviral therapy (HAART) for at least 2 months, these reactions can be avoided while simultaneously avoiding the drug interactions associated with the rifamycins, which are used to treat TB, and HAART.4
- Start 4 antituberculous medications.
4. Burman WJ, Jones BE. Treatment of HIV-related tuberculosis in the era of effective antiretroviral therapy. Am J Respir Crit Care Med 2001;164:7-12.
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