Author/Editor     Pikelj-Pečnik, Andreja; Radšel-Medvešček, Alenka
Title     Kronična driska po vrnitvi iz tropskih krajev
Translated title     Chronic diarrhea after returning from tropics
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 38, št. Suppl 8
Publication year     1999
Volume     str. 157-63
Language     slo
Abstract     With an increasing number of people travelling to the developing countries, the number of people with gastrointestinal problems, especially diarrhea, is increasing. 1% of such diarrhea lasts 4 weeks or more. The most common cause are parasites, but also some bacteria, fungi or viruses. Tropical sprue and lactic intolerance are specific entities for the tropics and are seen in people who stayed in endemic countries for a longer period of time. People with AIDS are especially at risk, because the course of the disease is more severe and it lasts longer. Confirmation on cysts or vegetative forms of the parasites in the stool is the most reliable way to make a diagnosis. Effective treatment usually consist of a combination of symptomatic therapy and the administration of an adequate chemotherapeutic. If isolation is not successful, other, noninfectious causes of chronic diarrhea need to be considered.
Summary     Zaradi vedno pogostejših potovanj ljudi tudi v nerazvite kraje se povečuje število zbolelih s prebavnimi težavami, predvsem driskami, od katerih je približno 1% takih, ki trajajo več kot štiri tedne. Najpogosteje jih povzročajo paraziti, pa tudi nekatere bakterije, glive in virusi. Tropska sprue in sekundarna laktozna intoleranca sta za trope specifični entiteti, ki se pojavljata pri ljudeh, ki so se dalj časa zadrževali v endemskih področjih. Posebej občutljivo skupino predstavljajo bolniki z aidsom, pri katerih poteka bolezen težje in dlje. Diagnozo najzanesliveje potrdimo z dokazom cist ali vegetativnih oblik povzročitelja v blatu. Zdravljenje drisk je največkrat učinkovito s kombinacijo simptomatskega zdravljenja in uporabe ustreznega kemoterapevtika. Ob neuspešni izolaciji moramo pomisliti tudi na druge možne neinfekcijske vzroke kronične driske.
Descriptors     TRAVEL
DIARRHEA
PARASITIC DISEASES
TROPICAL CLIMATE