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Treatment Strategies
  

PCP and Toxo coinfection

Posted: Mar 20, 2003

QUESTION:

What are your recommendations on treating patients with Toxo who are also coinfected with PCP? Would IV Bactrim alone suffice?


  

RESPONSE FROM:   

    Thank you for your question.

    In our experience, we'd likely try to treat Toxoplasmic encephalitis with a first-line prefered agent, like pyrimethamine/folinic acid (typically 6 weeks), then transition to suppressive therapy with TMP/SMX. TMP/SMX might or should work, but there isn't sufficient experience to make this a strong recommendation. -BY




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