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

Recommended DrugRecommended DoseRecommended Duration
TMP/SMXAdult: 1 DS tab PO bid7-10 days
Paediatric: 10mg/kg/d TMP PO div bid7-10 days

HIV patients

Recommended DrugRecommended DoseRecommended Duration
TMP/SMX1 DS tab PO qid then10 days
1 DS tab PO 3x/week2 weeks

Sulfa allergy

Recommended DrugRecommended DoseRecommended Duration
Ciprofloxacin500mg PO bid then7 days
500mg PO 3x/week2 weeks