Nick Beeching is Senior Lecturer in Infectious Diseases at Liverpool School of Tropical Medicine

Geoff Gill is Emeritus Professor of International Medicine, Liverpool School of Tropical Medicine

Contributors vii

Preface ix

List of Abbreviations x

New Drug Names xiii

How to use your textbook xiv

About the companion website xvii

Part 1 A general approach to syndromes/symptom complexes 1

1 Gastrointestinal presentations 3

2 Respiratory presentations 11

3 Neurological presentations 16

4 Febrile presentations 24

5 Dermatological presentations 29

6 The patient with anaemia 33

7 A syndromic approach to sexually transmitted infections 38

8 Splenomegaly in the tropics 47

Part 2 Major tropical infections 51

9 Malaria 53

10 Visceral leishmaniasis 70

11 Cutaneous leishmaniasis 77

12 Tuberculosis 82

13 HIV infection and disease in the tropics 96

14 Onchocerciasis filariasis and loiasis 126

15 African trypanosomiasis 141

16 South American trypanosomiasis (Chagas' disease) 148

17 Schistosomiasis 151

18 Leprosy 163

Part 3 Other tropical diseases 175

19 Amoebiasis 177

20 Bacillary dysentery 183

21 Cholera 186

22 Giardiasis and other intestinal protozoal infections 190

23 Intestinal cestode infections (tapeworms) including cysticercosis 195

24 Soil-transmitted helminths 199

25 Viral hepatitis 205

26 Liver and intestinal flukes 214

27 Hydatid disease 218

28 Pneumonia 222

29 Lung flukes 229

30 Tropical pulmonary eosinophilia 231

31 Pyogenic meningitis 233

32 Cryptococcal meningitis 241

33 Encephalitis 243

34 Acute flaccid paralysis 248

35 Spastic paralysis 251

36 Rabies 254

37 Tetanus 259

38 Brucellosis 262

39 Typhoid and paratyphoid fevers 267

40 Arboviruses 273

41 Viral haemorrhagic fevers 276

42 Dengue and yellow fever 283

43 Relapsing fevers 289

44 Rickettsial infections 292

45 Leptospirosis 294

46 Melioidosis 297

47 Tropical ulcer 299

48 Buruli ulcer 301

49 Myiasis 305

50 Cutaneous larva migrans 307

51 Scabies and lice 309

52 Strongyloidiasis 311

53 Guinea worm infection (dracunculiasis) 315

54 Histoplasmosis 317

55 Other fungal infections 319

56 Haemoglobinopathies and red cell enzymopathies 321

57 Haematinic deficiencies 326

58 Bites and stings 330

59 Non-communicable diseases 334

60 Refugee health 351

61 Syndromes of malnutrition 358

62 Eye disease in the tropics 364

63 Neglected tropical diseases 372

Index 381