Disseminated miliary tuberculosis with cutaneous involvement in a patient with HIV

A 35-year-old man presented to the hospital with complaints of pain in his left elbow and right knee, persistent cough, weight loss, night sweats, and generalized weakness over the past few months. Recent episodes of recurrent fever and a noticeable decrease in appetite were reported. He was diagnosed with human immunodeficiency virus (HIV) infection 5 years ago and has been on antiretroviral therapy since then. Although his adherence to the therapy was suboptimal, with frequent missed doses, he had not experienced any major opportunistic infections or HIV-related complications.