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Enteritis por criptosporidio - Treatment

Nombres alternativos

Criptosporidiosis

Tratamiento:

Hay varios tratamientos para la enteritis por criptosporidio.

Se han utilizado fármacos como nitazoxanida en niños y adultos. Otros fármacos que algunas veces se emplean abarcan:

  • Atovaquona
  • Azitromicina
  • Metronidazol
  • Paromomicina
  • Trimetoprim con sulfametoxazol

Sin embargo, estos fármacos con frecuencia sólo ayudan por corto tiempo y es común que la infección reaparezca.

El mejor método es mejorar el estado de inmunidad en personas que tengan un sistema inmunitario debilitado. Esto se puede hacer utilizando terapia antiviral altamente activa en personas con SIDA. Esto puede llevar a una remisión completa de la enteritis por criptosporidio.

Expectativas (pronóstico):

En personas saludables, la infección desaparecerá, pero puede perdurar hasta un mes. En las personas inmunodeprimidas, la diarrea prolongada puede causar pérdida de peso y desnutrición.

Complicaciones:

  • Colangitis (inflamación de una vía biliar)
  • Colecistitis (inflamación de la vesícula biliar)
  • Hepatitis
  • Malabsorción (absorción insuficiente de los nutrientes provenientes del tracto intestinal)
  • Pancreatitis
  • Síndrome consuntivo (pérdida de masa corporal por la que la persona se vuelve demasiado delgada y débil)

Situaciones que requieren asistencia médica:

Notifíquele al médico en caso de presentar diarrea acuosa que no desaparece al cabo de unos pocos días, especialmente si usted es inmunodeficiente.

  • Reviewed last on: 5/25/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Kirkpatrick BD, Sears CL. Cryptosporidiosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, PA: Saunders Elsevier; 2007:chap 371.

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