Clinical Research Directory

Inclusion Criteria: 1. Provision of signed and dated informed consent form 2. Stated willingness to comply with all study procedures and availability for the duration of the study 3. Male or female aged ≥18 years living with HIV 4. Admitted to hospital with 1) clinical concern for infection; 2) ≥2 qSOFA score criteria (Glasgow Coma Scale score \<15, a respiratory rate ≥22, or a systolic blood pressure ≤90 mmHg or a mean arterial pressure of ≤65 mmHg) 5. Resident within a pre-defined geographic area to ensure TB clinic follow-up 6. For females of reproductive potential: use of highly effective contraception through 28 days Exclusion Criteria: 1. Known active TB or receiving anti-TB therapy 2. Pregnancy or lactation. Women will undergo urine pregnancy screening. Pregnant people will be excluded due to lack of pharmacokinetic data for the expanded antibiotic regimen in pregnancy. 3. Known allergic reactions to the components of the interventional therapy 4. Treatment with another investigational drug or other intervention within one month 5. Known liver disease 6. Alcohol use \> 14 standardized drinks per week and/or \> 4 drinks per day for men and \>7 standardized drinks per week and/or \>3 drinks per day for women, defined as 14 grams of ethanol, as found in example 5 ounces of wine, 12 ounces of beer, or 1.5 ounces of 80 proof spirits 7. Positive serum cryptococcal antigen test 8. Current treatment with a drug known to have significant, non-correctable interaction with anti-TB therapy 9. Already receiving corticosteroids at the time of presentation to the hospital