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What is your threshold to offer trimethoprim-sulfamethoxazole for treatment of cyclosporiasis to an immunocompetent patient?

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How would you manage laboratory-confirmed cyclosporiasis in an immunocompetent patient without systemic signs of illness or significant dehydration but with persistent watery diarrhea?

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1 Answer
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Infectious Disease · Emory University Hospital
Answered on

Most immunocompetent people with cyclosporiasis will clear the infection, and their symptoms will resolve within about a week. If diarrhea persists beyond a week and Cyclospora has been confirmed on testing, I'll treat with antibiotics. Diarrhea is a miserable symptom. If we can safely shorten the c...

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