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Trimethoprim/Sulfamethoxazole and azithromycin combination therapy for ocular toxoplasmosis.

AbstractPURPOSE: To evaluate the efficacy and safety of trimethoprim/sulfamethoxazole and azithromycin combination for the treatment of ocular toxoplasmosis. METHODS: Nineteen ocular toxoplasmosis patients treated with trimethoprim/sulfamethoxazole and azithromycin +/- corticosteroid combination were retrospectively reviewed. Demographic data, clinical findings, the time interval until resolution of inflammation, recurrences, and drug side effects were collected. RESULTS: The mean follow-up time of the patients was 25.0 +/- 22.5 (range; 6 -66) months. Final visual acuity improved with a mean of 6 +/- 4 lines in 15 patients (78.9%). Inflammatory findings began to subside within 14.8 +/- 10.0 days. Three patients (15.8%) had recurrent attack. Only 1 patient (5.3%) had side effects from therapy. CONCLUSIONS: Trimethoprim/sulfamethoxazole and azithromycin combination is an effective and safe treatment modality for the treatment of ocular toxoplasmosis.
AuthorsAlper Yazici, Pinar Cakar Ozdal, Ibrahim Taskintuna, Sevim Kavuncu, Gultekin Koklu (Affiliation: Ulucanlar Eye Education and Research Hospital, Ankara, Turkey. lpryzc at gmail.com)
JournalOcular immunology and inflammation (Ocul Immunol Inflamm) 2009 Jul-Aug Vol. 17 Issue 4 Pg. 289-91 ISSN: 1744-5078 [Electronic] England
PMID19657985 (Publication Type: Journal Article)
Chemical References
  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Steroids
  • Trimethoprim-Sulfamethoxazole Combination
  • Azithromycin
Topics
  • Adolescent
  • Adult
  • Anti-Bacterial Agents (administration & dosage)
  • Anti-Infective Agents (administration & dosage)
  • Azithromycin (administration & dosage)
  • Child
  • Drug Therapy, Combination
  • Female
  • Follow-Up Studies
  • Humans
  • Macula Lutea
  • Male
  • Middle Aged
  • Recurrence
  • Steroids (administration & dosage)
  • Toxoplasmosis, Ocular (drug therapy, physiopathology)
  • Trimethoprim-Sulfamethoxazole Combination (administration & dosage, adverse effects)
  • Visual Acuity (drug effects)
  • Young Adult