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Updated: Oct 20, 2025
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
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[A young woman with severe dehydration]
G L Gerlinde Haverkamp1,2, Daan A R Castelijn1, Marije K Bomers1
1Amsterdam UMC, locatie VUmc, Afd. Interne Geneeskunde, Amsterdam.
Nederlands Tijdschrift Voor Geneeskunde
|September 15, 2021
Summary
A traveler returned from Togo with severe dehydration from acute diarrhea and vomiting. This case highlights cholera, a severe bacterial infection, presenting with characteristic "rice-water" stool.
Area of Science:
- Infectious Diseases
- Public Health
- Tropical Medicine
Background:
- Cholera remains a significant global health threat, particularly in regions with inadequate sanitation and water infrastructure.
- Travelers can inadvertently introduce infectious diseases to new areas, necessitating robust surveillance and rapid diagnostic capabilities.
Observation:
- A 28-year-old female presented with severe dehydration following travel to Togo.
- She experienced acute onset of watery diarrhea, described as "rice-water" stool, and vomiting.
- These symptoms are highly suggestive of cholera infection.
Findings:
- Stool culture confirmed Vibrio cholerae infection.
- The patient's presentation included severe dehydration, a hallmark of cholera.
- The volume of fluid loss, up to 1000 cc/hour, underscores the severity of the illness.
Implications:
- Prompt diagnosis and rehydration are critical for managing cholera and preventing mortality.
- This case underscores the importance of travel-related infectious disease awareness for both clinicians and travelers.
- Strengthening public health infrastructure and access to clean water in endemic areas is crucial for cholera prevention.
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