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HIV and tuberculosis co-infection is very common in Sub-Saharan Africa. On the other hand, when I opened the first clinic for HIV in Saigon (or Ho Chi Minh City), we had a lot of interesting illnesses that we don’t encounter here in the United States like penicilliosis, which is a fungal infection that behaves like histoplasmosis – a fungus we do have here in the United States and can co-infect people with HIV – particularly in the Midwest.