What is your approach to starting antiretroviral therapy in a patient living with HIV who is diagnosed with cryptococcal meningitis?

What is your approach to starting antiretroviral therapy in a patient living with HIV who is diagnosed with cryptococcal meningitis?

• Defer ART initiation until after the first 4-6 weeks of cryptococcal meningitis treatment
• Consider early ART initiation (before 4-6 weeks) if there is demonstrated clearance with a negative cerebrospinal fluid culture for cryptococcus
• Initiate ART immediately upon diagnosis despite the current guidelines, balancing the risk of IRIS
• Other