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Esprúe tropical - Treatment

Tratamiento:

El tratamiento comienza con mucho líquido y electrolitos. Igualmente, se puede requerir la reposición de folato, hierro, vitamina B12 y otros nutrientes. Al comienzo del tratamiento, se administra terapia antibiótica con tetraciclina u otro antibiótico de amplio espectro.

La tetraciclina oral generalmente no se prescribe para los niños hasta que hayan aparecido todos los dientes definitivos, ya que esto puede decolorar de manera permanente los dientes que aún se están formando.

Expectativas (pronóstico):

El pronóstico es bueno con tratamiento.

Complicaciones:

Las deficiencias de vitaminas y minerales son complicaciones comunes.

En los niños, el esprúe lleva a:

Situaciones que requieren asistencia médica:

Consulte con el médico si:

  • Los síntomas del esprúe tropical empeoran o no mejoran con el tratamiento.
  • Presenta nuevos síntomas.
  • Tiene diarrea u otros síntomas de este trastorno por un período prolongado, especialmente después de haber pasado un tiempo en el trópico.
  • Reviewed last on: 1/20/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Semrad CE, Powell DW. Approach to the patient with diarrhea and malabsorption. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 143.

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