Do we start ATT and ART simultaneously if CD 4 count less then 50 in a HIV patient with TB ?
First ATT then ART because if ART is given before it will lead to reconstitution of immune system and more agressive manifestation of TB
I know that ,is there a exception to that
First ATT to prevent immune reconstitution.following 2weeks of ATT,then ART
No the ATT first then ART only for CD4 counts >50
<50 simultaneously as per marrow