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PLWHIV with Suspected Extrapulmonary TB

  • In 2014 WHO issued new policy guidance for the use of Xpert MTB/RIF in the diagnosis of TB among people with suspected EPTB.

  • The WHO recommends that Xpert MTB/RIF should be used as the initial diagnostic test in testing cerebrospinal fluid specimens from patients presumed to have TB meningitis.

  • Though the data is limited, published studies indicate that Xpert MTB/RIF has low sensitivity for pleural TB.
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