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Dr. Andrew Rynne

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Can Any HIV Patient Survive Brain TB?

Hi,
My friend has detected HIV around 1 yr back. His CD4 counts were fine. Recently around 1 month back he has got headache, fever. During testing it was found that he has infected with Brain TV. Doctors are now planing to go for ART from next week. I just wanted to from you about the chances of curing brain TV with a Patient infected with HIV and how long a patient can survive ?

thanks,

San
Fri, 20 Jun 2014
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HIV AIDS Specialist 's  Response
Hi
Your friend is certainly going to survive as in HIV infected person, his/her every illness other than HIV itself will be cure including brain TB, which we call 'Tuberculous Meningitis in medical jargon . TB is the main opportunistic infection in a HIV person and the treatment is same as in a HIV negative person.When some body is suffering from both TB/HIV , then earlier first TB was treated first and after 2-4 weeks after initiation of Anti tubercular therapy (ATT) , Anti Retrro-viral Therapy (ART--medicines against AIDS) was to be startrd , but now the guidelines have changed , even both ART and ATT can be given concurrently.
The longevity of HIV + persons has increased dramatically with the advent of ART and on average the adult HIV + person on ART can be thought to live at least 30 years more (studies have predicted), which make the patient to survive just like a patient suffering from chronic illnesses like Diabetes and High blood pressure.
Keep me posted.

Dr Matin .A. Khan
MBBS, MPH, MMSc (HIV Med) PhD
M.A (Sociology) , M.Sc(Psychology), M.Sc(Counselling & Psychotherapy)
Fellowship in HIV Medicine (School of Tropical Medicine Kolkata, India)
AAHIVS ( American Academy of HIV Medicine USA)
Galen Exam for Certificate of Clinical Competence in HIV Medicine from IAPAC USA
MGM Medical College , Jamshedpur , India
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Can Any HIV Patient Survive Brain TB?

Hi Your friend is certainly going to survive as in HIV infected person, his/her every illness other than HIV itself will be cure including brain TB, which we call Tuberculous Meningitis in medical jargon . TB is the main opportunistic infection in a HIV person and the treatment is same as in a HIV negative person.When some body is suffering from both TB/HIV , then earlier first TB was treated first and after 2-4 weeks after initiation of Anti tubercular therapy (ATT) , Anti Retrro-viral Therapy (ART--medicines against AIDS) was to be startrd , but now the guidelines have changed , even both ART and ATT can be given concurrently. The longevity of HIV + persons has increased dramatically with the advent of ART and on average the adult HIV + person on ART can be thought to live at least 30 years more (studies have predicted), which make the patient to survive just like a patient suffering from chronic illnesses like Diabetes and High blood pressure. Keep me posted. Dr Matin .A. Khan MBBS, MPH, MMSc (HIV Med) PhD M.A (Sociology) , M.Sc(Psychology), M.Sc(Counselling & Psychotherapy) Fellowship in HIV Medicine (School of Tropical Medicine Kolkata, India) AAHIVS ( American Academy of HIV Medicine USA) Galen Exam for Certificate of Clinical Competence in HIV Medicine from IAPAC USA MGM Medical College , Jamshedpur , India