tropical sprue…

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digestive system, digestive system organs, tropical sprue, malabsorption syndrome of unknown cause that is prevalent, in the tropics, subtropics, related to an infectious organism, condition affects residents of, visitors, tropics, main symptom is diarrhea, improve on leaving tropical areas, reappear years after leaving the tropics, risk factors, residence, in the tropics, prolonged travel to tropical destinations, diarrhea, worse on high-fat diet, indigestion, excessive flatus, gas, abdominal cramps, weight loss, paleness, irritability, numbness, muscle cramps, in children, sprue most often presents, growth failure, delayed skeletal maturation, small bowel biopsy showing findings of tropical sprue, malabsorption, infection, upper endoscopy, upper gi series, characteristic findings, cbc showing anemia, stool showing increased fecal fat, chem 20 showing low amounts of serum calcium, albumin, serum phosphorus, serum cholesterol, treatment begins, rehydration, fluids, electrolytes, replacement of folate, iron, vitamin b12, antibiotic therapy, tetracycline is given, beginning of treatment, oral tetracycline, children, after all permanent teeth have erupted, permanently discolor teeth, still forming, outcome is expected to be good, vitamin, mineral deficiencies, common complications, experience prolonged diarrhea, symptoms of this disorder, after spending time, in the tropics, tropical sprue symptoms worsen, not improve, new symptoms develop, than avoiding living in, traveling to tropical climates, no known prevention, tropical sprue.