Document 0589
 DOCN  M9650589
 TI    'The tropics in our bathroom': chronic diarrhoea after return from the
       tropics.
 DT    9605
 AU    Overbosch D; Ledeboer M; Dept. of Tropical Medicine, Rode Kruis
       Ziekenhuis, Gravenhage,; The Netherlands.
 SO    Scand J Gastroenterol Suppl. 1995;212:43-7. Unique Identifier : AIDSLINE
       MED/96117911
 AB    Interest in imported tropical diseases has increased with the rising
       number of travellers to the tropics. This is especially true in the case
       of tropical gastroenterologic disorders. The causative organisms of
       chronic diarrhoea are different from those causing acute diarrhoea.
       Bacteria are relatively unusual; parasites, e.g. Entamoeba histolytica
       or Giardia lamblia or an opportunistic parasitic infestation associated
       with an HIV infection are more likely. Furthermore, non-infectious
       causes, such as postinfective tropical malabsorption, lactase deficiency
       or coeliac disease have to be considered. Today, elderly people often
       undertake a journey to the tropics; in these cases the diarrhoea may be
       associated not only with an increased susceptibility to tropical bowel
       infections but also with causes previously present, such as
       diverticulosis, carcinoma or inflammatory bowel disease. The
       classification of chronic diarrhoea following a visit to the tropics is
       essentially the same as that for acute diarrhoea: diarrhoea with and
       without fever and with and without blood. In addition, malabsorption is
       an important feature of chronic diarrhoea.
 DE    Adult  Aged  Aged, 80 and over  Case Report  Chronic Disease
       Diarrhea/*ETIOLOGY/PREVENTION & CONTROL/PHYSIOPATHOLOGY  Female  Human
       Male  *Travel  Tropical Climate  JOURNAL ARTICLE

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