Imported cholera with acute renal failure after a short business-trip to the Philippines, Germany, October 2015

A German businessman developed acute watery diarrhoea after a three-day trip to the Philippines. He was admitted with severe hypotension and acute renal failure, but recovered with rapid rehydration. Vibrio cholerae O1 serotype Ogawa was isolated. Physicians need to be aware of endemic cholera in Asia including the Philippines and consider this in their pre-travel advice.

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VIBRIO CHOLERAE 0139 DIARRHEA AND ACUTE RENAL FAILURE IN A THREE-DAY-OLD INFANT

The Pediatric Infectious Disease Journal ◽

10.1097/00006454-199512000-00017 ◽

1995 ◽

Vol 14 (12) ◽

pp. 1105-1106 ◽

Cited By ~ 5

Author(s):

Pagakrong Lumbiganon ◽

Pope Kosalaraksa ◽

Pensri Kowsuwan

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Vibrio Cholerae

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A hyponatraemia ritka oka: McKittrick–Wheelock-szindróma

Orvosi Hetilap ◽

10.1556/650.2017.30753 ◽

2017 ◽

Vol 158 (18) ◽

pp. 711-714

Author(s):

Rita Nagy ◽

Csaba Márkus ◽

László Jáger ◽

Csaba Tóth ◽

Zoltán Lőcsei

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Differential Diagnosis ◽

Watery Diarrhoea ◽

Severe Dehydration ◽

Tubulovillous Adenoma ◽

Medical Wards

Abstract: Authors present a case of acute renal failure and hyponatraemia caused by a secretory tubulovillous adenoma of the colon, the rare so called McKittrick-Wheelock syndrome. A 75 year old woman was in need of treatment many times on medical wards because of watery diarrhoea, severe dehydration, hydroelectrolyte disturbance. The authors keep their case to be worthy to present, owing to the syndrome’s rarity and difficulties of differential diagnosis. Orv Hetil. 2017; 158(18): 711–714.

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STUDYING OF SOME CLINICAL, BIOCHEMICAL CHARACTERISTICS AND TREATMENTS RESULTS OF CHOLERA PATIENTS IN BEN TRE PROVINCE IN 2010

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2012.3.4 ◽

2012 ◽

pp. 22-25

Author(s):

Thi My Nhon Cao ◽

Thuy Kim Son Ho ◽

Thi Kim Loan Le ◽

Xuan Chuong Tran

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Vibrio Cholerae ◽

Water Loss ◽

Biochemical Characteristics ◽

Failure Group ◽

Level 3

Objectives: Cholera is an emergent infection due to Vibrio cholerae. Studying clinical and biochemical characteristics of cholera helps doctors in diagnosis, treatment, following up and prognosis. Aims: 1. To determine some clinical and biochemical characteristics of cholera patients in 2010 epidemics in Ben Tre province. 2. To evaluate the relation of leucocytosis to diarrheal duration. Materials and methods: Patients diagnosed as cholera treated in Nguyen Dinh Chieu Hospital and Cu Lao Minh Hospital, Ben Tre province, since May 2010 to September 2010. Results: 54 patients were enrolled in this study (males 16, females 38). All patients had Ogawa positive. More than 60% pts stayed in hospitals over 96 hours. Most of pts had diarrheal duration over 48 hours, 44.5% more than 72 hours. 20.3% pts had water loss in level 3. 50% pts had leucocytosis, in them 16.7% had over 15.109/L. 18,5% had acute renal failure. Group with leucocytosis had higher rate of diarrhoea over 72 hours than group without leucocytosis (77.7% vs. 36%). Conclusions: 1. Most of pts had long diarrheal duration. 20.3% pts had water loss in level 3. 50% pts had leucocytosis, in them 16.7% had over 15.109/L. 18,5% had acute renal failure. 2. Leucocytosis may be related to the diarrheal duration.

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Cholera with severe renal failure in an Italian tourist returning from Cuba, July 2013

Eurosurveillance ◽

10.2807/1560-7917.es2013.18.35.20572 ◽

2013 ◽

Vol 18 (35) ◽

Cited By ~ 8

Author(s):

M Mascarello ◽

M L Deiana ◽

C Maurel ◽

C Lucarelli ◽

I Luzzi ◽

...

Keyword(s):

Renal Failure ◽

Vibrio Cholerae ◽

Watery Diarrhoea ◽

Severe Renal Failure ◽

Vibrio Cholerae O1

In July 2013, an Italian tourist returning from Cuba was hospitalised in Trieste, Italy, for cholera caused by Vibrio cholerae O1 serotype Ogawa with severe renal failure. An outbreak of cholera was reported in Cuba in January 2013. Physicians should consider the diagnosis of cholera in travellers returning from Cuba presenting with acute watery diarrhoea.

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Haemolytic–uraemic syndrome caused by a non-O157 : H7 Escherichia coli strain in experimentally inoculated dogs

Journal of Medical Microbiology ◽

10.1099/jmm.0.46239-0 ◽

2006 ◽

Vol 55 (1) ◽

pp. 23-29 ◽

Cited By ~ 8

Author(s):

Jian-Yang Wang ◽

Shi-Shan Wang ◽

Pin-Zhang Yin

Keyword(s):

Escherichia Coli ◽

Renal Failure ◽

Acute Renal Failure ◽

Haemolytic Uraemic Syndrome ◽

Clinical Signs ◽

Multiple Organ ◽

Coli Strain ◽

Watery Diarrhoea ◽

Domestic Sheep ◽

E Coli

Both O157 : H7 and non-O157 : H7 Escherichia coli strains are reported to cause haemolytic–uraemic syndrome (HUS). This study was carried out to explore the pathogenicity of O157 : H7 and non-O157 : H7 E. coli strains in experimentally inoculated dogs. Twenty 40-day-old dogs were randomly divided into four groups, and the groups (n=5) were administrated orally with E. coli O157 : H7 strains HJ2001-1 (from a patient with serious haemorrhagic diarrhoea) and HZ2001-4 (from a domestic sheep kept in the house of a patient who died from diarrhoea and subsequent acute renal failure), HZ2001-9 (a non-O157 : H7 strain, from a 6-month-old child who died from diarrhoea and subsequent acute renal failure) or a control strain, EC8099. HJ2001-1 and HZ2001-4 caused slight diarrhoea, and the dogs recovered without any complications. However, HZ2001-9 resulted in watery diarrhoea accompanied with slightly bloody stools, followed by death on the fifth or sixth day. In the fatally infected experimental animals, necrotic lesions in the liver and bacterial embolism in the kidney were observed. The primary cause of death was microvascular thrombosis caused by the bacteria, leading to renal and multiple organ failure. Therefore, the non-O157 : H7 E. coli strain HZ2001-9 causes clinical signs and pathological lesions in dogs that are consistent with those in acute renal failure or HUS in humans.

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