True about Tuberculosis HIV patients -
High-Yield Explanation
Sputum is negative in half of the patients because of absence of pulmonary cavities There are 4 main differences in clinical presentation in TB in HIV patients 1.TB progresses more rapidly 2.chest x ray appearance alters 3.sputum smears may be negative 4.classic miliary pattern may be seen Ref Harrison 20th edition pg 887