Short report: case report of Cyclospora infection acquired in Indonesia and treated with cotrimoxazole.
A detailed chronology of unsuccessful efforts to diagnose and treat a sudden-onset case of chronic diarrhea acquired in Jakarta Indonesia, and ultimately attributed to Cyclospora is presented. A modified Kato technique was used to quantify Cyclospora oocysts during successive days prior to, during, and after successful cotrimoxazole therapy (160 mg of trimethoprim, 800 mg sulfamethoxazole twice a day for seven days) for this infection. Cyclospora was associated with 6.4% of the gastrointestinal illness and/or diarrhea cases that presented during a seven-month period to a Jakarta clinic that serves a small population of expatriates. Cyclospora and Giardia lamblia were identified with equal frequency during this period and were the dominant pathogenic intestinal parasite species found in this community.
Fryauff
D J
DJ
U.S. Naval Medical Research Unit No. 2, Jakarta, Indonesia.
Krippner
R
R
Purnomo
Ewald
C
C
Echeverria
P
P
D000818:Animals; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D003048:Coccidiosis / Q000188:drug therapy* / Q000469:parasitology; D003967:Diarrhea / Q000188:drug therapy* / Q000469:parasitology; D016783:Eucoccidiida; D005260:Female; D006801:Humans; D007214:Indonesia; D007411:Intestinal Diseases, Parasitic / Q000188:drug therapy* / Q000469:parasitology; D008875:Middle Aged; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use*; D014481:United States / Q000208:ethnology
D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination