If they have latent TB, which cannot be spread to others, they are at risk for the infection becoming an active disease, which can be spread to others. Active TB in the lungs also is more likely to spread to other parts of the body (extrapulmonary TB) in people who have HIV infection than in people who do not have it.
Today, HIV-positive people have many options for AIDS and HIV medication. These options include:
Anti-HIV medications that treat HIV infection
Drugs that treat side effects of the disease or HIV treatment
Drugs that treat opportunistic infections that result from a weakened immune system
Researchers are continuing to develop many new types of AIDS and HIV medications.
Both active and latent TB are sometimes difficult to diagnose in people who also are infected with HIV or who have AIDS.
TB skin tests sometimes do not detect an infection in people who have AIDS or HIV infection even when they have a TB infection. This is because their immune systems often do not work well enough to respond to a skin test.
Some lung infections common in AIDS, such as Pneumocystispneumonia, may mask the signs of TB infection on chest X-rays.
Active TB can be the first sign of an HIV infection or AIDS.
When people are diagnosed with active TB and have risk factors for HIV infection, they should have a test for HIV.
When people are diagnosed with HIV, they also should have a test for TB.
Active TB may speed the progression of HIV in people who are infected with both diseases and also may increase their risk of dying from the HIV infection. People who have both diseases may be at increased risk for developing multidrug-resistant TB. For these reasons, it is important to promptly treat people who have HIV infection and TB. With treatment, latent and active TB usually can be cured in people who have HIV or AIDS.
In this article
WebMD Medical Reference from Healthwise
November 14, 2014
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this