RT Book, Section A1 Wetzel, Dawn M. A1 Phillips, Margaret A. A2 Brunton, Laurence L. A2 Knollmann, Björn C. SR Print(0) ID 1193241220 T1 Chemotherapy of Protozoal Infections: Amebiasis, Giardiasis, Trichomoniasis, Trypanosomiasis, Leishmaniasis, and Other Protozoal Infections T2 Goodman & Gilman's: The Pharmacological Basis of Therapeutics, 14th Edition YR 2023 FD 2023 PB McGraw-Hill Education PP New York, NY SN 9781264258079 LK accessmedicine.mhmedical.com/content.aspx?aid=1193241220 RD 2024/04/18 AB Humans host a wide variety of protozoal parasites that can be transmitted by insect vectors, directly from other mammalian reservoirs, or from one person to another. The immune system plays a crucial role in protecting against the pathological consequences of many protozoal infections. Thus, opportunistic infections with protozoa are prominent in patients with suppressed or underdeveloped immune systems, such as infants, individuals with cancer, transplant recipients, those receiving immunosuppressive drugs or extensive antibiotic therapy, and persons with advanced human immunodeficiency virus (HIV) infection. Because effective vaccines are unavailable, chemotherapy has been the only practical way to both treat infected individuals and reduce transmission. Satisfactory agents for treating important protozoal infections such as African trypanosomiasis (sleeping sickness) and chronic Chagas disease still are lacking. Many effective antiprotozoal drugs are toxic at therapeutic doses; this problem is exacerbated by increasing drug resistance (McCarthy et al., 2020). For a list of drugs and doses used to treat these diseases, see Kimberlin et al. (2018) and McCarthy et al. (2020).