Patient A; This is a 40-year-old male patient who came with a non-productive cough for one month and a three-month history of unquantified but significant weight loss. He also had a history of losing his appetite. On initial presentation, he appeared to be chronically ill, and all of his vital signs were within normal limits. The man weighed 52 kilograms and stood 1.74 meters tall, with a BMI of 17.2 kilograms per square meter, indicating that he was underweight. The lymphoglandular system revealed 3 by 4 cm enlarged masses that were mobile, had no overlying skin color change, and were tender in the cervical areas bilaterally, as well as 2 by 3 cm enlarged masses that were soft in consistency, mobile, had no overlying skin color change, and were non-tender on the submental areas. Other findings in the abdomen were a palpable mass in the right upper quadrant, about 5 cm below the right costal border, indicating hepatomegaly, and a soft mass along the line of spleen expansion, suggesting splenomegaly. He was then probed for a possible TB diagnosis, despite the fact that all of the standard TB diagnostic tests were negative. However, as shown below, the abdominal ultrasonography and FNAC (fine needle aspiration cytology) both supported the tuberculosis diagnosis. Abdominal ultrasonography revealed calcified and hypoechoic micronodules in the liver and spleen, as well as numerous enlarged centrally necrotic intra-abdominal lymphadenopathies, indicating disseminated tuberculosis (likely resolving). A FNAC biopsy revealed bilateral cervical and submental lymphadenopathies, with a tuberculous abscess as the most likely diagnosis. He was then tested for retrovirus infection and was found to be positive. The CD4 cell count was 14 cells per millimeter squared. He was offered urine LAM for tuberculosis diagnosis, and the result was positive for TB LAM. He began antiTB treatment, and on the tenth day of treatment, he was started on highly active antiretroviral therapy (HAART) with Tenofovir+Lamivudine+Dolutegravir (TLD) as per the recommendation. He is now on his 7th month and is apparently healthy, and taking his medication regularly. His weight also increased to 63 kilograms, with a BMI of 20.8, which is normal. The viral load was done 2 weeks back, and it was 800 copies, which is below the threshold for viral transmission (greater than 1000 copies).