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Determination of Tolerable Fatty Acids and Cholera Toxin Concentrations Using Human Intestinal Epithelial Cells and BALB/c Mouse Macrophages
Published on: May 30, 2013
[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.
Abstract:
Cholera is an acute intestinal infection caused by Vibrio cholerae 01. When an infected person presents severe dehydration and is not adequately treated, he or she will develop hypovolemic shock and eventually could died. There is scarce information concerning this disease in the Pediatric group. Herein we report on eight cases of Pediatric cholera, in children 17 month to four years of age. Seven patients out of eight were admitted presenting dehydration. Four presenting mild or moderate dehydration and three presenting hypovolemic shock. These three patients were rehydrated by intravenous route and thereafter the hydration was maintained by oral therapy. The outcome was uneventful in six patients. One patient developed abdominal distention probably due to hypopotassemia, and another patient presented hyponatremia and seizures. All the patients recovered within five days after admission.
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