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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Tropical sprue

To help fight against this, she clarifies…. Klipstein in described the disorder thusly modified by Cook, Gastroenterology — Specifically, it generally occurs in the tropical areas of:.

Clin Sci Mol Med Suppl 55 — BMJ 2 — Aetiology and pathogenesis of postinfective tropical malabsorption tropical sprue. Before the AIDS epidemic, these protozoa were recognised as the causes of malabsorption mainly in patients with primary immunodeficiency syndromes such as common variable immunodeficiency, and were thus relatively uncommon.

Chronic diarrhoea and malabsorption are seen in a small proportion of infected people.


Hawes,pp. Seasonal gastroenteritis and malabsorption at an American military base in the Philippines: Tropical tropjcal makes it particularly difficult to absorb folic acid and vitamin B One way to diagnose tropical sprue is to look for signs of the nutritional deficiencies it causes.

The specific bacteria that cause tropical sprue are unknown.

Restoration of fluid and electrolyte balance is necessary in dehydrated patients, and deficiencies of magnesium and potassium need to be corrected in those with longstanding illness. Helminth infections Helminth infections are an occasional cause of tropical malabsorption. Am J Clin Nutr 25 — How Is Tropical Sprue Treated?

Tropical malabsorption

They share the challenges and hardships. Protozoa are an important cause of traveller’s diarrhoea. Gut 24 — Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption. Children will receive a different antibiotic instead.

Tropical malabsorption

Malabsorbed nutrients with osmotic diarrhoea; colonic water secretion due to unabsorbed fatty acids. Gastroenterology 66 — Similar slowing of small intestinal transit in coeliac disease can be reversed with gluten withdrawal.

J Med Virol rsprue — In some patients, presentation is solely with features of chronic diarrhoea and malabsorption due to the exocrine pancreatic insufficiency.


In patients with diarrhoea, trophozoites in stool are usually present. This swelling makes it more difficult for you to absorb nutrients from food. Tropical sprue is an acquired chronic diarrheal disorder of unclear etiology affecting residents of and visitors to tropical regions.

Gastroenterol Clin North Am 25 — A structured approach to diagnosis and therapy is outlined. Giardia intestinalis is the protozoan parasite most commonly associated with malabsorption. Selective immunoglobulin Ig A deficiency is less common and can be associated with a flat mucosa and giardiasis.

Tropical enteropathy and tropical sprue. Please review our privacy policy. Ailments of unknown cause Gastrointestinal tract disorders Malnutrition Steatorrhea-related diseases.

Lancet 1 — With the expansion of tourism and increasing employment opportunities in tropical regions, pathologists in the West are increasingly likely to encounter cases of tropical sprue and should be aware of this diagnosis.