CholeraDr Ashwini Kalantri

Signs and Symptoms

Vomiting and painless diarrhea – “Rice Water”

10 – 20 Litres/day!

Low BP

Wrinkled Skin

Sunken eyes

Rapid Pulse

“Blue Death”

Cause

Vibrio Cholerae100 million bacteria to infect

Vibrio C

holerae

Transmission

Fecal contamination of food and water caused by poor sanitation

Water borne disease.

Diagnosis

A rapid dip-stick test

Patient history and doing a brief examination

Stool and swab samples – before antibiotics.

Direct microscopy of stool is not recommended, as it is unreliable.

Prevention

Sanitation and Hygiene!

Treatment

Fluids and electrolytes

Antibiotics – Doxycycline

Epidemiology

New

Yo

rk, U

SA

, 1832

London, 1854