This
study was conducted to identify the latest pharmacological agents available for
the chemotherapy of pathogenic protozoa affecting the human intestine,
specifically targeting Entamoeba histolytica and Cryptosporidium parvum. For
the treatment of amoebiasis caused by E. histolytica, modern drugs include
diloxanide furoate, iodoquinol (diiodohydroxyquin), and paromomycin, which are primarily used
to eliminate intestinal cysts in the lumen. Metronidazole, tinidazole, and
nitazoxanide are employed to eradicate tissue trophozoites of E. histolytica.
For amebic liver abscesses or extraintestinal infections, the recommended drugs
are paromomycin, metronidazole, emetine, and chloroquine. In pregnant women
with amoebiasis, treatment should involve a tissue amebicide such as
metronidazole, followed by a luminal agent like paromomycin after the first
trimester, or second-line agents such as diloxanide furoate or iodoquinol.
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