Table 1 Treatment of parasites causing tropical malabsorption.
Parasitic infection | Treatment |
---|---|
Giardia intestinalis | Metronidazole 400 mg three times daily for a week; tinidazole 2 g single dose; secnidazole 30 mg/kg single dose; nitazoxanide 500 mg twice daily for 3 days; paromomycin 10 mg/kg three times daily for 7 days (pregnancy) |
Isospora belli | Cotrimoxazole (160/800 mg) twice daily for 7 days, *followed by one tablet three times a week for 10 weeks; ciprofloxacin 500 mg twice daily for one week, *followed by 500 mg three times a week for 10 weeks |
Cryptosporidium parvum | Nitazoxanide 500 mg twice daily for 3–7 days; paromomycin 500 mg 3–4 times daily for 2 weeks |
Enterocytozoon bieuneusi | Nitazoxanide 500 mg twice daily for 3–7 days; fumagillin 20 mg three times daily for 2 weeks |
Encephalitozoon intestinalis | Albendazole 400 mg twice daily for 2–3 weeks |
Cyclospora cayetanensis | Cotrimoxazole (160/800 mg) twice daily for 7 days, *followed by one tablet three times a week for 10 weeks; ciprofloxacin 500 mg twice daily for one week, *followed by 500 mg three times a week for 10 weeks |
Leishmania donovani | Miltefosine 100–150 mg daily orally for 4 weeks; liposomal amphotericin B 1–3 mg/kg/day for 5 days; paromomycin 16–20 mg/kg/day for 3 weeks |
Strongyloides stercoralis | Thiabendazole 25 mg/kg/12 h for 3 days; albendazole 400 mg twice daily for 3 days; ivermectin 200 μg/kg for 1–2 days |
Capillaria philippinensis | Thiabendazole 25 mg/kg/12 h for 20 days; albendazole 400 mg once or twice daily for 10 days |
*In underlying HIV infection.