TROPICAL SPRUE: DIAGNOSTIC CHALLENGES OF AN OLD DISEASE BUT UNDERRECOGNIZED. A TUNISIAN CASE REPORT
A tunisian case report of a latent Tropical sprue presented by a visitor of an endemic area Tropical sprue (TS) is a post-infective disease of the small bowel characterized by a malabsorption syndrome affecting tropics inhabitants and visitors. Diagnosis of TS remain challenging since it can be confused with common diarrheal diseases, especially in non-endemic areas. After ruling out other causes of chronic dirrhea, improvement after an optimal management combining rehydration, replacement of micronutrient, folate and vitamin B12 deficiencies as well as a prolonged antibiotic course supports the diagnosis of TS.