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Vibrio cholerae O139 in Calcutta

S K Bhattacharya1, M K Bhattacharya, D Dutta

  • 1National Institute of Cholera and Enteric Diseases, Calcutta, India.

Archives of Disease in Childhood
|August 1, 1994
PubMed
Summary

Vibrio cholerae O139 caused acute watery diarrhea in children, presenting with severe dehydration and vomiting. This new strain

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Area of Science:

  • Microbiology
  • Pediatrics
  • Infectious Diseases

Background:

  • Vibrio cholerae O139 is an emerging pathogen causing cholera outbreaks.
  • Understanding the clinical presentation in children is crucial for effective management.

Purpose of the Study:

  • To investigate the clinical features and biochemical parameters of acute watery diarrhea in children caused by Vibrio cholerae O139.

Main Methods:

  • Bacteriological analysis of stool samples from children with acute watery diarrhea.
  • Clinical assessment of symptoms including diarrhea, vomiting, abdominal cramps, anorexia, dehydration, and fever.
  • Blood biochemical profiling and screening for hypoglycemia.

Main Results:

  • Vibrio cholerae O139 was identified in 28 out of 79 children with acute watery diarrhea.
  • Common symptoms included 100% watery diarrhea and dehydration, 79% vomiting, and 61% abdominal cramps and anorexia.
  • Clinical and biochemical profiles were similar to adult cases, with 40% of screened children exhibiting hypoglycemia.

Conclusions:

  • Vibrio cholerae O139 causes severe acute watery diarrhea in children, characterized by significant dehydration and vomiting.
  • The clinical presentation and biochemical derangements, including hypoglycemia, are comparable to those observed in adults.
  • Prompt recognition and management are essential for pediatric cases of Vibrio cholerae O139 infection.

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