Microsporidiosis Treatment & Management

Updated: Oct 05, 2015
  • Author: Valda M Chijide, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Treatment

Medical Care

Pay attention to volume replacement and electrolyte repletion in patients with microsporidiosis who develop severe diarrhea.

Evaluate the patient by assessing dentition and addressing difficulty of chewing or swallowing. Then, focus on providing adequate nutritional support with the aid of a dietitian.

Consider enteral feeding in patients who are too ill to obtain adequate nutrition by mouth. Substitution of medium-chain for long-chain triglycerides can decrease fat malabsorption. [11] Parenteral nutrition is reserved for situations in which the small intestine is nonfunctional.

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Consultations

Gastroenterologist for colonoscopy and small-bowel endoscopy

Ophthalmologist for a slit-lamp examination in patients with symptomatic microsporidiosis

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Diet

One study has found that individuals infected with HIV and who have microsporidiosis-related diarrhea had less diarrhea and malabsorption on a medium-chain triglyceride diet as opposed to a long-chain triglyceride diet. [12]

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