Isospora belli Isosporiasis

This organism's clinical presentation is similar to that of cryp-tosporidium. It is an opportunistic infection that causes chronic, watery diarrhea in AIDS patients (CD4 < 100/mm3). Unlike cryptosporidium, effective treatments for Isospora belli are available, including trimethoprim (160 mg) and sulfamethoxazole (800 mg) taken either as 2 double strength (DS) orally twice daily or, if immunocompromised, 1 DS 3 times daily for 10 days to 4 weeks, or sulfadiazine (4 g) and pyrimethamine (35 to 75 mg) in 4 divided doses, plus leu-covorin calcium (10 to 25 mg daily) for 3 to 7 weeks. In immunocompromised patients, it may be necessary to use a maintenance suppressive therapy with preferably TMP-SMX either 1 to 2 DS daily or 3 times a week, or alternatively pyrimethamine 25 mg and leucovorin 5 mg/d perhaps indefinitely until immune recovery occurs.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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