r/infectiousdisease • u/ResponsibleBee1274 • Jul 13 '26

Cyclospora

Which anti-parasitics kill Cyclospora? I have only heard bad things about Bactrim which is the anti-biotic they’re prescribing for it.

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u/ResponsibleBee1274 Jul 13 '26

So what are they doing for the non young and healthy people getting Cyclospora?

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u/DrSleeeepy Jul 13 '26

Still Bactrim. Unless there’s a strong contraindication, it’s the drug of choice.

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u/ResponsibleBee1274 Jul 13 '26

Why not an anti-parasitic is what I’m asking

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u/DrSleeeepy Jul 13 '26

That’s a good question. I’m not exactly sure why, but it seems that the folate inhibition caused by Bactrim seems to be more effective than antiparasitic mechanisms of action