April 29, 2017
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Cyclospora Infection (Cyclosporiasis) (cont.)

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What is the treatment for Cyclospora infections?

Cyclospora infection often goes away by itself, and mild or asymptomatic cases require no treatment. For those who require treatment, the best option is oral trimethoprim-sulfamethoxazole (TMP-SMX) (Bactrim, Septra) twice daily for seven to 10 days. For those who continue to have symptoms or have persistent oocysts on stool examination, another seven-day course is usually effective. For people with a sulfa allergy, there are few good options. There are reported cases where nitazoxanide (Alinia) twice daily was successful as an alternate therapy. One small study suggested that ciprofloxacin (Cipro, Cipro XR, ProQuin XR) twice daily for seven days is an option in adults. However, it has a higher failure rate compared to TMP-SMX. These medications are not approved for routine use in pregnancy. Pregnant women should check with their obstetrician (ob-gyn doctor) before taking any new prescription.

What are complications of a Cyclospora infection?

Profuse, watery diarrhea may cause dehydration. Thus, keeping up with fluids is important. Diarrhea also contains salts and potassium, so drinking fluids that contain electrolytes (such as sports drinks) may be beneficial. Some people feel loss of energy for some time after the diarrhea goes away.

What is the prognosis of a Cyclospora infection?

The prognosis of Cyclospora infection is excellent and complete recovery is anticipated. As discussed above, recovery can be hastened by the use of antibiotics in symptomatic people.

Patients who are infected with the human immunodeficiency virus (HIV), however, may relapse after treatment is stopped and should be referred to an infectious-disease doctor.

Medically Reviewed by a Doctor on 9/23/2016

Source: MedicineNet.com
http://www.medicinenet.com/cyclospora_infection_cyclosporiasis/article.htm

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