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KMID : 0882419710140030001
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Korean Journal of Medicine
1971 Volume.14 No. 3 p.1 ~ p.11
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Clinical Studies on El Tor Cholera in Pusan , Korea , 1969
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Chung Jung-Myung
Park Jin-Hyung
Choi Seung-Kil
Choi Hyun-Taik
Park Dong-Ho
Liu Bang-Hyun
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Abstract
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The author studied clinically 60 cases-of El Tor cholera patients which was spread epidemically in Pusan during 1969 and obtained-following conclusions.
1. The epidemic began during the late of Sept. reaching climax from the late of Sept. to the beginning of Oct. and ceased in the late of Oct. There was no difference between the sex as and all ages were, infected but the highest incidence was amongst 4th decade.
2. The blood picture during the early stage showed high concentration and neutrophilic leucocytosis, but during late stage it was return to normal.
3. The plasma Na and Ca level seemed not to be influenced by the degree of the dehydration but plasma K concentration decreased slightly in the early stage and moderately in the later stage.
4. The plasma specific Gravity was 1.030(1. 028-1. 040) on admission and returned to normal value on recovering stage.
5. The CO2 content ranged from 5mEq/1 to 23mEq/1 and it´s mean value was; l4mEq/L
6. The B.U.N level wa slightly increased on admission and recovering stage
7. Chemical Liver Function tests revealed that the total protein and the albumin were decrease in 18.8%, the G.O. T. was increased in 30.4% and the globulin was increased in 26. 1%.
8. The characteristic E.C.G. findings of chorela patiens were depression of S-T segment(58 6%), flattening of the T wave(39. 6%), appearance of the U wave(24 6%), and the tall P,(10. 3%) on admission.
9. The initial fluid requirement of the cholera cases ranged from 300 to 2,700 ml and the mean value was 1, 100 mL
10. The subsidence of he diarrhea was seen during 1-8 days after admission and the diarrhea subsided in approximately 93% of the cases by the fifth day after admission.
The excretion of cholera vibro in the stool ranged from 1 to 12 days and excretion subsided in about 79% by the sixth day after admission.
11. The several antibiotics administered were not effective for the negative conversion of the cholera vibrio in the stool.
12. The mortality rate was 4. 3% in this epidemic.
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