Tropical sprue is an acquired chronic diarrheal disorder of unclear etiology affecting residents of and visitors to tropical regions. Patients usually present with . English Spanish online dictionary Term Bank, translate words and terms with different pronunciation options. ESPRUE TROPICAL trastorno de diarrea crónica con mala absorción y deficiencia nutricional etiología desconocida regiones tropicales.

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A typical patient with tropical sprue is an adult who presents with chronic diarrhoea, glossitis, bloating, prominent bowel sounds and weight loss.

esprue no tropical – English Translation – Word Magic Spanish-English Dictionary

Other protozoa may also colonise the small bowel and lead to malabsorption. A milder form of chronic diarrhoea, steatorrhoea and a marked weight loss follows this. Gastroenterology 58 — The illness usually starts with an attack of acute diarrhoea, fever and malaise following which, after a variable period, the patient settles into the chronic phase of diarrhoea, steatorrhoea, weight lossanorexiamalaise, and nutritional deficiencies.

Am J Clin Nutr 21 — The prognosis for tropical sprue may be excellent after treatment. What is tropical sprue?

Pediatr Infect Dis J 23 — Gastroenterol Clin North Am 25 — Nutrient malabsorption in tropical sprue arises from involvement of both the proximal and distal small intestine. Aliment Pharmacol Ther 21 — Sporadic tropical sprue is still an important cause of malabsorption in adults and in children in South Asia. The histologic changes typically resemble that of gluten-sensitive enteropathy. It is associated with a macrocytic anemia and megaloblastic bone marrow, and with histological and radiological changes in the small bowel.

J Gastroenterol Hepatol 18 — J HIV Ther 7 17— J Pediatr Gastroenterol Nutr 41 — Curr Gastroenterol Rep ; 3: Diagnosis of tropical sprue can be complicated because many diseases have similar symptoms. Parenteral vitamin B 12oral folate and iron replacement result in prompt resolution of symptoms of anaemia, glossitis and anorexia, and result in weight gain even before improvement in intestinal absorption.


Clonal proliferation may occur secondary to chronic or recurrent infections of the intestine in childhood. Although this is useful to detect the increased faecal fat triglyceride in patients with chronic pancreatitis, Sudan stain is not sensitive in the diagnosis of tropical sprue, where nl faecal fat is in the form of fatty acids rather than triglycerides. Diseases of the digestive system primarily K20—K93— Bacterial infections Trkpical tuberculosis is common in tropical countries.

Tropical malabsorption

Key references Nath SK. Before the AIDS epidemic, these protozoa were recognised as the causes of esprje mainly in patients with primary immunodeficiency syndromes such as common variable immunodeficiency, and were thus relatively uncommon. Aetiology and pathogenesis of postinfective tropical malabsorption tropical sprue.

Mechanisms of intestinal adaptation. For instance, C parvum is the most important diarrhoeal pathogen in Zaire and Uganda, whereas I belli is the most common pathogen causing dsprue diarrhoea and malabsorption in south India.

Tropical sprue: revisiting an underrecognized disease.

Klipstein in described the disorder thusly modified by Cook, Asymptomatic Cryptosporidium carriage in rural South Indians. Am J Trop Med Hyg 74 — Rarely, vitamin A deficiency may manifest with edprue blindness and corneal xerosis, while vitamin B 12 deficiency leads to subacute combined degeneration of the spinal cord.

Three stages of the disease are noted, ranging from an apparently benign disease stage A to a clear lymphoma stage C.

Gastroenterology — Tropical enteropathy and tropical sprue. Xylose absorption is usually normal in these patients, and faecal fat is grossly increased. T cells possibly have a role in the development of enteropathy.


Ann Intern Med 79 — The disease progresses espdue variable periods of time to the development of lymphoplasmacytic and immunoblastic lymphoma. J Infect Dis — Dig Dis 22 — The first description of tropical sprue. Eur J Gastroenterol Hepatol 13 — It is now known that the condition occurs primarily in the tropics in those areas with a high rainfall, and that it affects the indigenous populations as well as Caucasians, Chinese and other immigrants.

esprue no tropical

Eesprue of early and delayed responses in vitamin B12 absorption during antibiotic therapy in tropical malabsorption. Peritonitis Spontaneous bacterial peritonitis Hemoperitoneum Pneumoperitoneum. Treatment 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. Indian J Med Res 85— In expatriates, the illness is heralded by acute diarrhoea associated with fever and malaise in the first week.

J Pathol 98 [ PubMed ]. Chapter 16 Tropical Sprue; Kwashiorkor Esptue, both tropical and nontropical, has been a eslrue of great interest to the medical community ever since it was initially described over years ago. Dig Dis Sci 27 — Indian J Med Microbiol 16 — The definition of the various clinical syndromes that are together termed tropical sprue is still controversial. In this study, 10 of 13 patients with sprue had aerobic bacteria in the small intestine in larger numbers median 3.