Tropical Sprue Follow-up

Updated: Dec 15, 2014
  • Author: Rohan C Clarke, MD; Chief Editor: Julian Katz, MD  more...
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Follow-up

Further Outpatient Care

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  • Observe patients regularly to ensure that they respond to treatment and that the correct diagnosis is made. The patient should be observed at least once a month with careful monitoring of lab studies to make sure that any signs or symptoms of malabsorption have been corrected.

  • Monitor weight gain.

  • Monitor the CBC count and electrolytes at least monthly.

  • Correct folate, vitamin B-12, and any other deficiencies.

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Further Inpatient Care

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  • Patients with tropical sprue are not usually admitted as inpatients unless they present with at diagnosis of chronic diarrhea or malabsorption with dehydration and weight loss (see Medical Care).

  • Patients admitted with suspected tropical sprue should undergo workup and evaluation as previously described (see Workup).

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Inpatient & Outpatient Medications

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  • The same medications are used in both outpatient and inpatient settings (see Medication).

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Deterrence/Prevention

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  • No direct evidence indicates that antibiotic prophylaxis can prevent tropical sprue.

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Complications

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  • Anemia

  • Malnutrition

  • Vitamin deficiency

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Prognosis

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  • Prognosis of this condition is generally good.

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Patient Education

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  • Travelers to the tropics should be aware of this syndrome and take steps to limit exposure to enteric pathogens. If protracted diarrhea occurs, early presentation to medical personnel is helpful.

  • For patient education resources, see the Esophagus, Stomach, and Intestine Center, as well as Traveler's Diarrhea.

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