A multicenter study in Thailand has reported an increased
risk of death in HIV-infected patients due to extrapulmonary
TB, particularly meningeal TB. In our study, we found a
large proportion (40%) of extrapulmonary TB, a third of
which was TB meningitis. There is limited research evidence
concerning the treatment of HIV-associated extra-pulmonary
TB, although a recent trial in Vietnam reported poor survival
rates of PLWH suffering from TB meningitis, despite early
ART and TB therapy. Research and clinical trials are still
necessary, especially in settings experiencing a high prevalence
of TB and HIV