Tropical sprue Flashcards
1
Q
What is tropical sprue
A
Flattened villi that causes malabsorption that is most common in tropical regions (Caribbean, India and south east Asia)
2
Q
What does enteroglucagon do
A
Decreases gastric motility
3
Q
What bacteria overgrow in the gut causing tropical sprue
A
Klebsiella, e.coli and enterobacter
4
Q
What nutrients become depleted as a result of topical sprue
A
B12 and folate
5
Q
Symptoms of tropical sprue
A
Diarrhoea, abdo pain, fatigue, weight loss and dehydration
6
Q
What is the gold standard test
A
Biopsy of jejunum
7
Q
What tests will precede a biopsy
A
Blood tests, abdominal x-ray, endoscopy (villous atrophy) and barium swallow
8
Q
Treatment
A
Antibiotics and replace B12 and folate
