Impact of HIV Infection on TB
Changes in pathogenesis and development of TB: Higher incidence and rapid progression of TB.
Epidemiologically: Increase of TB.
Clinical management
Diagnosis: More difficult due to increases of atypical TB cases.
Treatment: More difficult due to higher incidence of side-effects of thiacetazone.
TB control policy
Case-finding: How to detect smear (-) PTB and EPTB?
Preventive treatment: Needed for dually infected persons.
Heavier load to health services in general.