cyclosporidiasis (Cyclospora cayetanensis)
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication: cotrimoxazol (trimethoprim +sulfamethoxazol) po 960mg 2dd 21 days to 28 |
|
|
Priority: 2nd choice |
Medication: ciprofloxacine po 500mg 2dd 7 days |
Sources
-
Pubmed.gov publication # 10836915
Verdier RI, Fitzgerald DW, Johnson WD Jr, Pape JW. (2000) Trimethoprim-sulfamethoxazole compared with ciprofloxacin for treatment and prophylaxis of Isospora belli and Cyclospora cayetanensis infection in HIV-infected patients. A randomized, controlled trial. Ann Intern Med. 2000 Jun 6;132(11):885-8.
-
Pubmed.gov publication # 17205465
Zimmer SM, Schuetz AN, Franco-Paredes C. (2007) Efficacy of nitazoxanide for cyclosporiasis in patients with sulfa allergy. Clin Infect Dis. 44(3):466-7.
-
Pubmed.gov publication # 23982239
Legua P and Seas C. (2013) Cystoisospora and cyclospora. Curr Opin Infect Dis. 26(5):479-83.
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
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Metadata
Swab vid: G-498900.2
Updated: 12/01/2023 - 17:20
Status: Published
General comments
Bij blijvend verstoorde afweer (bv. bij HIV en CD4+ cellen <100*10E6/L) na behandeling secundaire profylaxe: 3 x per week po 960mg co-trimoxazol (tot CD4+ >200*10E6/L).
1 case report over succesvolle behandeling met nitazoxanide (po 500mg 2dd gedurende 7 dagen) van een patiënt met co-trimoxazol-allergie.