Tropical sprue (TS) is a syndrome characterized by acute or chronic diarrhea, weight loss, and malabsorption of nutrients. It occurs in residents. Tropical Sprue; Kwashiorkor. Sprue, both tropical and nontropical, has been a subject of great interest to the medical community ever Sp: Esprue tropical. Tropical sprue is a chronic diarrheal disease, possibly of infectious origin, that involves the small intestine and is characterized by.

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Indian J Esprur Res — Indian J Med Microbiol 16 — A perspective on tropical sprue. Initially thought to be confined to visitors to the tropics, it became apparent in the early 20th century that indigenous residents of the tropics were afflicted with similar illnesses. It appears to be a more severe form of environmental enteropathy.

This is identified by quick response to treatment with tetracycline or other antibiotics. What can I do to prevent getting tropical sprue if I am traveling to a tropical location? The prognosis for tropical sprue may be excellent after treatment. However, immunocompetent people also sometimes show prolonged symptoms.


Tropical malabsorption

Khokhar N, Gill M L. The most common infection noted in these patients is with the protozoan G intestinalis. Am J Gastroenterol — N Engl J Med — Mucosal biopsy of the small intestine is characteristic and shows a dense cellular lymphoplasmacytic infiltrate in the lamina propria leading to ssprue of the crypts. Gut 29 — Esrpue presence of Giardia cysts in the stool indicates infection. Persistent diarrhea in the returned traveler. Semin Gastrointest Dis ; It is associated with a macrocytic anemia and megaloblastic bone marrow, and with histological and radiological changes in the small bowel.

Curr Gastroenterol Rep ; 7: The disease was first described by William Hillary in from the island of Barbados in the West Indies. It is of interest despite the fact that it is unknown in many parts of the world and, even where endemic primarily India, Southeast Asia and the Caribbeanit affects relatively few of the population compared with the millions who suffer from parasitic and other tropical diseases.

Tropical Sprue

Nat Rev Gastroenterol Hepatol. Infect Immun 72 — Klipstein in described the disorder thusly modified by Cook, Journal List Postgrad Med J v. Symptomatic chronic infection of the small bowel leads to malabsorption. tropiacl


In summary, tropical sprue is a pan-enteric inflammatory process often mistaken for gluten-sensitive enteropathy. Ratsch I M, Catassi C.

Tropical sprue

Mechanisms of intestinal adaptation. Approach to tropical malabsorption The list of differential diagnoses in patients with tropical malabsorption is wide and varied.

Protozoal infections cause malabsorption in immunocompetent hosts, but do so more commonly in the setting of tropicxl deficiency. One possible cause of the syndrome of tropical sprue?

Morphologic characteristics of jejunal biopsies from asymptomatic Haitians and Puerto Ricans. J Pediatr Gastroenterol Nutr 41 — Researchers believe the condition is caused by an overgrowth of bacteria in your intestines. Night blindness, corneal xerosis, Bitot’s spots.

Expert Opin Pharmacother 5 —