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Home Therapy Infections in HIV / cellular immune disorders

cyclosporidiasis (Cyclospora cayetanensis)

Advices

≥ 18 years
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

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.

Sources

  1. 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.

  2. 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.

  3. 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