MICHAEL D. DICKMAN, PH.D.; R. W. SCHAEDLER, M.D.; A. R. CHAPPELKA
To the editor: The report of Klipstein and colleagues (Ann Intern Med 79:632-641) that stresses the isolation of toxin-producing Enterobacteriaciae from the midjejenum of patients with tropical sprue is consistent with our findings in a patient studied for more than 1 year.
Patient B came to the Philadelphia Naval Hospital after the completion of his second tour of duty in Vietnam. Initial complaints were of acute watery episodes of diarrhea with the passage of 10 to 15 fluid stools daily, tenesmus, and weight loss.
The diagnosis of tropical sprue was based on an abnormal Schilling test (3%), D-xylose excretion (10%),
DICKMAN MD, SCHAEDLER RW, CHAPPELKA AR. Escherichia coli and Tropical Sprue. Ann Intern Med. 1974;81:128. doi: 10.7326/0003-4819-81-1-128_2
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Published: Ann Intern Med. 1974;81(1):128.
Celiac Disease and Malabsorption, Gastroenterology/Hepatology, Infectious Disease.
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