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Description

A 30-year-old female presents with a new diagnosis of smear-positive pulmonary TB.

She is also found to have a new diagnosis of HIV.

Labs show mild anemia, normal liver enzymes, CD4 cell count=25 cells/uL.

Which is most appropriate approach to therapy:

A. Start HIV treatment immediately, defer TB treatment

B. Start TB treatment immediately, defer HIV treatment until after 6 months of TB treatment

C. Start TB treatment immediately, and start HIV treatment in 8-12 weeks

D. Start TB treatment immediately, and start HIV treatment within 2 weeks

E. Start HIV treatment immediately, and start TB treatment within 2 weeks

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