[Cholera in children. A report of 8 cases]

L A Lezama-Basulto1, F Mota-Hernández, E Bravo-Barrios

  • 1Servicio de Hidratación Oral, Hospital Infantil de México Federico Gómez, D.F.

Insights

Pediatric cholera, caused by Vibrio cholerae 01, can lead to severe dehydration and hypovolemic shock. Early intravenous rehydration followed by oral therapy proved effective in treating eight young children, with most recovering fully within five days.

Area of Science:

  • Infectious Diseases
  • Pediatrics
  • Gastroenterology

Background:

  • Cholera, an acute intestinal infection by Vibrio cholerae 01, poses a significant risk of severe dehydration and hypovolemic shock if untreated.
  • Limited data exists on cholera's impact and management specifically within pediatric populations.

Observation:

  • This case series details eight pediatric cholera patients aged 17 months to 4 years.
  • Seven of the eight children presented with dehydration, including three with critical hypovolemic shock.
  • Management involved intravenous rehydration for shock cases, followed by oral rehydration therapy.

Findings:

  • Six patients experienced uneventful recovery within five days.
  • One patient developed abdominal distention, possibly linked to hypopotassemia.
  • Another patient presented with hyponatremia, leading to seizures.

Implications:

  • Intravenous and oral rehydration therapy is effective for pediatric cholera, even in severe cases.
  • Monitoring for electrolyte imbalances like hypopotassemia and hyponatremia is crucial in pediatric cholera management.
  • This study highlights the importance of prompt and appropriate treatment for severe dehydration in children with cholera.

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