parasite: protozoa DOC Flashcards
Acanthamoeba spp
-granulomatous amoebic encephalitis
ketoconazole, rifampin or TMP-SMX
Acanthamoeba spp
-amebic keratitis
chlorhexidine or propamidine
Babesia microti
clindamycin + quinine
second line:
Atovaquone plus azithromycin
balantidium coli
-bloody diarrhea
DOC: tetracycline
second line: metronidazole
cryptosporidium parvum
-watery diarrhea
DOC: nitazoxanide
cyclospora cayetanesis
-watery diarrhea
TMP-SMX
if sulfa allergy: ciprofloxacin
entamoeba histolytic
-bloody diarrhea
metronidazole followed by paromomycin
giardia
-watery diarrhea (malabsorption)
metronidazole (tinidazole)
second line: Nitazoxanide, albendazole, paromomycin
isospora belli
-watery diarrhea
TMP-SMX
or Pyrimethamine with folinic acid, ciprofolxacin (for sulfa allergy)
leishmania brazilinesis
-mucocutaneous leishmaniasis
sodium stibogluconate
leishmania donovani
-visceral leishmaniasis
liposomal amphotericin B
second line: sodium stibogluconate
microsporidia
-watery diarrhea or ocular infection
albendazole or umagillin
naegleria fowleri
-primary amebic meningoencephailitis
amphotericin B + rifampin
second line: Amphotericin B + ketoconazoleor fluconazole
Plasmodium falciparum
-malaria
chloroquine
second line: Malarone, Mefloquine, artemisinin derivatives
plasmodium falciparum
-cerebral malaria
IV quinine