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Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.

Ask the Experts about Opportunistic Infections

 

toxoplasmosis treatment
Mar 1, 2000

I would like to know which is the actual treatment of cerebral toxoplasmosis and how long is it?

Response from Dr. Feinberg

If the person with toxo has HIV/AIDS, then treatment is lifelong-- unless the person has an excellent response to anti-HIV therapy with a big and sustained increase in CD4 cells. In that case, many experts might consider stopping chronic maintenance therapy if the CD4 cells remain high for at least 3-6 months. The standard treatment is pyrimethamine + sulfadiazine; second choice is clindamycin + pyrimethamine; alternatives include atovaquone and trimetrexate.



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