Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation of Yours,You seem to suffer from-Histoplasmosis-which has micronodular lung pattern,and can mimick Miliary TB.
But immunocompromised body state in
HIV patients,both could be present simultaneoulsy.Antigen testing in urine and serum is more sensitive (80%) in diagnosis of Histoplasmosis.
Other causes-like Sarcoidosis/
blastomycosis need to be ruled out with Chest Physician Consults and CT chest and flexible
bronchoscopy.
This plan would reduce your dilemma from histoplasmosis and Miliary TB.
Hope this would help you to plan further of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS