Please describe the treatment of your Cyclospora infection.
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What is the treatment of Cyclospora infections?
Cyclospora infection is
self-limited, and mild or asymptomatic cases require no treatment. For those who
require treatment, the best option is oral
twice daily for seven days. For those who continue to have symptoms or have
persistent oocysts on stool examination, another seven-day course is usually
effective in clearing infection. For patients with a sulfa allergy, there are few
good alternatives. There are reported cases where nitazoxanide (Alinia) twice daily was
successful as an alternate therapy, although large-scale studies have not been
done. One small study suggested that ciprofloxacin (Cipro, Cipro XR, Proquin XR) twice daily for
seven days is an
option in adults, but it has a higher failure rate compared to TMP-SMX and some
have questioned its effectiveness. Because these medications are not approved
for routine use during pregnancy, treatment of pregnant patients should be
individualized and done in consultation with an obstetrician.