This new edition, providing a comprehensive introduction to the study of tropical medicine, has been thoroughly revised and updated to include new content, further illustrations and clinical photographs to aid understanding.

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

Providing a comprehensive introduction to the study of tropical medicine, this new edition has been thoroughly revised and updated to include new content and more illustrations and clinical photographs to aid understanding. Now fully supported by a companion website containing hundreds of interactive multiple-choice questions, and available in a range of digital formats, Tropical Medicine Lecture Notes is the perfect resource for study and revision, and is the ideal companion for those practising medicine in tropical and sub-tropical regions. New edition of the best-selling tropical medicine textbookBrand new chapters covering Ophthalmology and Neglected Tropical Diseases (NTDs)Increased coverage of malaria, tuberculosis and HIV/AIDSMore colour illustrations and photographs for greater clarity and understandingFully supported by a companion website at www.lecturenoteseries.com/tropicalmed containing figures and summaries from the book in PowerPoint format, and hundreds of interactive MCQs (written by Dom Colbert)Now available in a range of digital formats - perfect for on-the-go study and clinical practice For information on all the titles in the Lecture Notes series, please visit: www.lecturenoteseries.com

“This is a comprehensive review of many tropical diseases, appropriately updated from the previous edition, that accomplishes its educational purpose by presenting material in a way that makes learning uncomplicated and enhancing it with online materials and multiple-choice questions.”   (Doody’s, 9 January 2015)