In the treatment of cyclosporiasis, the drug of choice (DOC) is crucial for effective management. Cyclosporiasis is a parasitic infection caused by Cyclospora cayetanensis. The prescribed treatment for this condition is the antibiotic combination known as Trimethoprim sulfamethoxazole (TMP-SMX). This combination is effective due to its synergistic action in inhibiting the bacterial folate synthesis pathway, which is a key factor in the growth and replication of Cyclospora. To clarify the options:
- Trimethoprim sulfamethoxazole combination: This is the correct choice, as it effectively treats cyclosporiasis by targeting the folate pathway of the parasite.
- Paromomycin: While it is an antiparasitic agent, it is not the primary treatment for cyclosporiasis.
- Metronidazole: Typically used for anaerobic bacteria and protozoa, it is not effective against Cyclospora.
- Cyclosporin: This is an immunosuppressant, not related to the treatment of cyclosporiasis.
To conclude, the recommended treatment for cyclosporiasis is the Trimethoprim sulfamethoxazole combination.