Tropical and Geographical Medicine

Jay S. Keystone, MD
Arch Intern Med. 1985;145(3):409. doi:10.1001/archinte.1985.00360030041004.
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There is little doubt that this new 1,128 page publication is the most significant contribution to tropical and geographical medical literature in recent years. Warren and Mahmoud took on the unenviable task of collecting, collating, and editing the works of 153 contributors, most of whom are internationally recognized experts in their field.

The text is divided into five parts. The opening chapter, "Clinical and Biological Considerations in the Approach to Tropical Medicine," contains sections on a clinical problem-oriented approach, genetics, parasitism, and nutrition. Subsequent sections cover specific protozoan disease, metazoan disease, viral and chlamydial disease, bacterial, spirochetal, and Rickettsial disease, fungal disease, nutritional disease, and epidemiology and health care.

The discussion of each disease entity is organized around the host-parasite relationship and covers the parasite, the patient, and the population. Under the "parasite," taxonomy, life cycle and ecology, morphology, and biology are reviewed. Under the "patient" the clinical pathology, diagnosis,


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