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Cholera, Pediatric

Matthew P. Kronman, MD, MSCE Reviewed 10/2018
 


BASICS

DESCRIPTION

Cholera is an acute-onset infection producing profuse secretory diarrhea with the potential for epidemic spread. 

EPIDEMIOLOGY

  • Diarrheal disease, including cholera, is the second leadi...

DIAGNOSIS

HISTORY

  • Vomiting and profuse watery diarrhea:

    • Severe illness is characterized by voluminous watery diarrhea (up to 1 L per hour) flecked with mucus (“rice-water stools”).

  • Sick contacts with sim...

TREATMENT

GENERAL MEASURES

  • The mainstay of cholera treatment is rapid rehydration, accounting for both initial and ongoing fluid losses.

  • Patients with moderate disease may require only oral rehydration ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

In the untreated patient, the typical period of V. cholerae shedding is 1 to 2 weeks. Asymptomatic carriage is uncommon. 

DIET

Resume a high-energ...

ADDITIONAL READING

  • Bhattacharya SK, Sur D, Ali M, et al. 5 year efficacy of a bivalent killed whole-cell oral cholera vaccine in Kolkata, India: a cluster-randomised, double-blind, placebo-controlled ...

CODES

ICD9

  • 001.9 Cholera, unspecified

  • 001.0 Cholera due to vibrio cholerae

  • 001.1 Cholera due to vibrio cholerae el tor

  • V02.0 Carrier or suspected carrier of cholera

  • V01.0 Contact with or exposure to choler...

FAQ

  • Q: What foods should I avoid while traveling?

  • A: Foods associated with cholera include untreated or unboiled water and ice, undercooked fish and shellfish, raw vegetables, food from street vendors,...

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