MCQs in Tropical Medicine

Rob Skelly DTM+H FRCP

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Tropical disease drug treatments

T T F F T

Table 90

Drug treatments of some major tropical diseases
Infection	First line treatment	Second line treatment
onchocerciasis	ivermectin	suramin DEC
schistosomiasis	praziquantal (for all species)	metrifonate (S.haemotobium) oxamniquine (S.mansoni)
visceral leishmaniasis	sodium stibogluconate	amphotericin B pentamidine allopurinol
Rhodesian trypanosomiasis	suramin	melarsoprol (if CNS involved)
Gambian trypanosomiasis	suramin or pentamidine	melarsoprol or eflornithine (if CNS involved)
hydatid disease	albendazole	praziquantal