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KMID : 0882419730160100635
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Korean Journal of Medicine
1973 Volume.16 No. 10 p.635 ~ p.642
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Clinical Observation and Results of Cultures of the Purged Stool and of the Bile in Cholera seen in Daegu Area , 1970
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Choi Young-Hwan
Moon Chong-Woong
Lee Sang-Kay
Kim Man-Jae
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Abstract
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A clinical observation was made on 16 cases of male and 45 cases of female on whom cholera was suspected clinically during the epidemic of 1970 in Daegu area. The morbidity was higher among those whose living standard was low and were living outskirts of the urban area. The incidence of the positive stool culture for cholera vibrio was 54% and no vaccination against cholera was given in 79% of these cases. Clinical manifestations appeared within one day in 70 of the cases after the ingestion of probable offending contaminated foods, such as seaweeds (9 cases), pork (6 cases) and grapes (6 cases). On admission, diarrhea and vomiting were noted in all cases and the former was subsided in 94% of the cases by the 5th hospital day in those oxytetracycline was given and by the 8th hospital day in those the drug was not given. Daily stool culture has become negative in 94% of the cases by the 7th hospital day in the former group and by the 10th hospital day in the latter. Reminders of cardinal manifestations were thirty (88%), muscle cramp (56%), abdominal pain(50%), and hypotension (44%). In convalescent patients, on whom three consecutive daily stool culture were negative cultures of the bile were positive in 3% and of the stool after purging with magnesium sulfide with positive in 6%, suggesting that cultures of the bile and/or of the purged stool are preferable or the detection of the convalescent carrier.
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