Tropical sprue Health Dictionary

Tropical Sprue: From 1 Different Sources


A chronic malabsorptive, diarrhoeal, steatorrhoeic condition of unknown aetiology but often associated with secondary bacterial involvement.
Health Source: Dictionary of Tropical Medicine
Author: Health Dictionary

Tropical Ulcer

A cutaneous ulcer seen particularly in malnourished individuals. The cause of these ulcers is often ascribed to a synergistic infection by the spirochaete Treponema vincentii and the anaerobic Gram negative rod, Fusobacterium nucleatum.... tropical ulcer

Sprue

A disease occurring most commonly in patients in or from the tropics, and characterised by diarrhoea with large, fatty stools; ANAEMIA; sore tongue; and weight loss. Its manifestations resemble those of non-tropical sprue, or gluten enteropathy, and COELIAC DISEASE.

Causes Tropical sprue is thought to be due to an inborn error of metabolism, characterised primarily by an inability to absorb fats from the intestines. Its epidemiological pattern suggests that an infection such as DYSENTERY may be the precipitating factor. Subsequently there is interference with the absorption of carbohydrates, vitamins, and minerals, leading to anaemia and HYPOCALCAEMIA.

Symptoms Of gradual or rapid onset, there is initial weakness, soreness of the tongue, dif?culty swallowing, indigestion, diarrhoea and poor appetite. Anaemia is typically macrocytic, and mild HYPOGLYCAEMIA may occur. Untreated, the patient steadily loses weight and, unless appropriate treatment is started early, death may be expected because of exhaustion and some intercurrent infection.

Treatment This consists of bed rest, a high-protein diet (initially skimmed milk), and treatment of the anaemia and any other de?ciencies present. Minimum fat should be given to sufferers, who should also take folic acid and cyanocobalamin for the anaemia; large vitamin-B-complex supplements (such as Marmite®) are helpful. Vitamins A and D, together with calcium supplements, help to raise the concentration of calcium in the blood. A long convalescence is often required, which may lead to marked depression, and patients should be sent home to a temperate climate.

Non-tropical sprue is the result of GLUTEN hypersensitivty and is treated with a gluten-free diet.... sprue

Tropical Medicine

In simple terms, tropical medicine is the medicine practised in the tropics. It arose as a discipline in the 19th century when physicians responsible for the health of colonists and soldiers from the dominant, European countries were faced with diseases not encountered in temperate climates. With extensive worldwide travel possible today, tropical diseases are now being widely seen in returning travellers and expatriates.... tropical medicine

Tropical Diseases

Technically, those diseases occurring in the area of the globe situated between the Tropic of Cancer and the Tropic of Capricorn: pertaining to the sun. They include many ‘exotic’ infections – many of them parasitic in origin – which fall under the umbrella of ‘TROPICAL MEDICINE’. However, disease in the tropics is far broader than this and includes numerous other infections, many of them with a viral or bacterial basis: for example, the viral hepatidises, streptococcal and pneumococcal infections, and tuberculosis. The prevalence of other diseases, such as rheumatic cardiac disease, cirrhosis, heptocellular carcinoma (‘hepatoma’), and various nutrition-related problems, is also much increased in most areas of the tropics. With people from developed countries increasingly travelling to worldwide destinations for business and holiday, the ‘importation’ of tropical diseases to temperate climates should be borne in mind when people fall ill.

The following diseases and conditions are treated under their separate dictionary entries: ANCYLOSTOMIASIS; BERIBERI; BLACKWATER FEVER; CHOLERA; DENGUE; DRACONTIASIS; DYSENTERY; ELEPHANTIASIS; FILARIASIS; HEAT STROKE; LEISHMANIASIS; LEPROSY; LIVER, DISEASES OF; MALARIA; ORIENTAL SORE; PLAGUE; PRICKLY HEAT; SCHISTOSOMIASIS; SLEEPING SICKNESS; STRONGYLOIDIASIS; SUNBURN; YAWS; YELLOW FEVER.... tropical diseases

Tropical Medicinal Plants

Tropical countries are a treasure house of a wide variety of medicinal plants. Some species are found wild, while a number of species have been domesticated by the farmers. Many species have been grown in homesteads and become part of traditional home remedies. A limited number of species are commercially cultivated though a few more have potential for large-scale production. The important tropical and subtropical medicinal plants are discussed here highlighting the importance, medicinal and other uses, distribution, botany, agrotechnology, chemical constituents and activity. For practical convenience of the discussion in this book, they are classified under the following four broad groups.

a) Medicinal herbs

b) Medicinal shrubs

c) Medicinal climbers

d)Medicinal trees... tropical medicinal plants

Tropical Almond

Terminalia catappa

Description: This tree grows up to 9 meters tall. Its leaves are evergreen, leathery, 45 centimeters long, 15 centimeters wide, and very shiny. It has small, yellowish- green flowers. Its fruit is flat, 10 centimeters long, and not quite as wide. The fruit is green when ripe.

Habitat and Distribution: This tree is usually found growing near the ocean. It is a common and often abundant tree in the Caribbean and Central and South America. It is also found in the tropical rain forests of southeastern Asia, northern Australia, and Polynesia.

Edible Parts: The seed is a good source of food. Remove the fleshy, green covering and eat the seed raw or cooked.... tropical almond

Tropical Eosinophilia

A syndro me found in certain tropical areas in which patients present with hypereosinophilia, pulmonary infiltration, cough, chest pain and asthma-like attacks. Associated with infection by the filarial nematodes Wuchereriabancrofti and Brugia malayi. These infections are usually amicrofilaraemic, , especially in expatriates, i.e. no microfilariae can be detected in peripheral blood.... tropical eosinophilia

Tropical Abscess

(amoebic abscess) an abscess of the liver caused by infection with *Entamoeba histolytica. See dysentery.... tropical abscess

Neglected Tropical Diseases

(NTDs) as defined by the *World Health Organization (WHO), a diverse group of *communicable diseases found almost entirely among poor populations in tropical and subtropical parts of Africa, Asia, and the Americas. Although they affect more than 1.4 billion people, and countermeasures would in many cases be inexpensive, NTDs have traditionally received far less attention than the major infectious diseases HIV/AIDS, tuberculosis, and malaria. In 2013 the WHO resolved to intensify its efforts to eradicate or control NTDs. The current WHO list identifies 24 such diseases, including *Buruli ulcer, *chikungunya fever, *dengue, *leishmaniasis, and *Madura foot (mycetoma).... neglected tropical diseases



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