Cyclospora cayetanensis

  • Symptoms last an average of 7 weeks (longer in immunocompromised patient).

  • Outbreaks linked to ingestion of berries imported from the tropics or subtropics.

Symptoms

  • nausea
  • anorexia
  • weight loss
  • watery diarrhea
  • abdominal cramping

Treat if patient is:

  • Symptomatic
  • Severely immunocompromised
Drug Dose Duration
TMP/SMX Adult: 1 DS tab PO bid 7-10 days
  Paediatric: 10mg/kg/d TMP PO div bid 7-10 days

HIV patients

Drug Dose Duration
TMP/SMX 1 DS tab PO qid then 10 days
  1 DS tab PO 3x/week 2 weeks

Sulfa allergy

Drug Dose Duration
Ciprofloxacin 500mg PO bid then 7 days
  500mg PO 3x/week 2 weeks