Table 1– Clinical case examples
Patient A
 Information on CoDe formPatient died due to liver failure as a consequence of HCV infection
Patient had clinical signs of liver failure in the 3 weeks prior to death
CD4 cell count prior to death 48 cells·mm−3
HIV RNA no data
Autopsy not performed
 Additional clinical information
  TBPulmonary TB diagnosed 3 years earlier, bacteriologically confirmed, fully susceptible to anti-TB drugs
Completed RHZE treatment, no TB recurrence reported
  HIVKnown HIV positive for 13 years
CD4 cell count at TB diagnosis 245 cells·mm−3
HIV RNA 500 000 copies·mL−1
No ART
 CoDe review processImmediate COD was coded as “liver failure due to HCV infection”
Patient B
 Information on CoDe formPatient died due to dissemination of TB with multiorgan failure
Condition had deteriorated during the last 1.5 months due to irregular treatment
Autopsy: macrofocal pulmonary TB with haematogenous dissemination; medium and small caverns with caseous necrosis in upper lung lobes bilateral, drained to bronchi; TB in kidneys, spleen, intra- and extrathoracic lymph nodes; tuberculous meningitis with brain oedema. Patient died due to brain oedema and multiorgan failure
 Additional clinical information
  TBDisseminated MDR-TB diagnosed 14 months earlier
Anti-TB treatment RHZ combined with amikacin and ethionamide, but poor adherence to treatment and several episodes of treatment interruptions
  HIVKnown HIV-positive for 8 years
ART initiated after TB diagnosis, but interrupted after 6 months at patient’s wish
CD4 cell count at TB diagnosis 78 cells·mm−3 and at time of death 255 cells·mm−3
HIV RNA not measured
 CoDe review processImmediate COD was coded as “disseminated TB with TB meningitis”
Patient C
 Information on CoDe formPatient died after progressive pulmonary failure over a month
No signs of TB progression
Autopsy: signs of PCP
No evidence for active TB process
 Additional clinical information
  TBPresumptive (without positive culture and thus no susceptibility tests available) pulmonary TB diagnosed 1.5 years earlier with involvement of intra- and extrathoracic lymph nodes
Initial anti-TB treatment was RH with the addition of Z and amikacin 2 months later for a total treatment duration of 8 months
No recurrence of TB reported
  HIVKnown HIV positive for 8 years
CD4 cell count 5 months prior to TB diagnosis 410 cells·mm−3, at time of death 135 cells·mm−3
HIV RNA not measured
Patient did not receive ART
PCP was not diagnosed while patient was alive and PCP treatment/prophylaxis not prescribed
 CoDe review processImmediate COD was coded as “non-TB AIDS defining condition, PCP”
  • CoDe: Coding Causes of Death in HIV; TB: tuberculosis; HCV: hepatitis C virus; R: rifamycin; H: isoniazid; Z: pyrazinamide; E: ethambutol; COD: cause of death; ART: antiretroviral therapy; MDR: multidrug resistant; PCP: Pneumocystis jirovecii pneumonia.