It was 1:00 am. I was the supervising resident on the Pediatric Hospital Medicine service at my home institution in Houston, Texas just a few months after returning from Uganda, where I had spent a clinical year as part of my combined residency program in pediatrics and global child health. I returned a page from the emergency department: “We have a 10-year-old girl* to admit. She has a 3-month history of cough, weight loss, night sweats, fevers, and a positive quantiferon test. She and all her family members also have a skin rash that looks like scabies. She is stable from a respiratory perspective, and we’d like to admit her to your service for further workup and treatment.” I paused as my mind turned to the dozens of patients I treated with pulmonary tuberculosis during my year in Uganda, many of them with the triple burden of tuberculosis, HIV,...

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