Info

visceral

Sodium stibogluconate or meglumine antimoniate; resistant cases may benefit from combining antimonials with allopurinol, pentamidine, paromomycin or amphotericin (including AmBisome).

cutaneous

Miid lesions heal spontaneously, antimonials may be injected intralesionally

Toxoplasmosis

Most infections are self-limiting in che immunologically normal patient. Pyrimethamine with sulfadiazine for chorioretinitis.and active toxoplasmosis in immunodeficient patients; folimc acid is used to counteract the inevitable megaloblastic anaemia.Alternatives mcludc pyrimethamine with clindamycin or clarithromycin or azithromycin Spiramycin for primary toxoplasmosis in pregnant women. Expert advice is essential.

Trichomoniasis

Metronidazole or unidazole is effective

Trypanosomiasis

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