All Vibrio cholerae Infections Are Not Created Equal

Rosemary Harris, MD
JAMA. 1995;273(18):1417. doi:10.1001/jama.1995.03520420029019.
Text Size: A A A
Published online

To the Editor.  —The recent article by Dr Besser and colleagues1 recommends a travel history on all patients with diarrhea and dehydration. Physicians in the United States should also be aware that cholera may no longer be limited to the third world.I practice in the rural part of Maryland's Eastern Shore— just 90 minutes from Washington, DC, and Baltimore—and recently treated three people with cholera acquired locally. One was an elderly, homebound man who had been no further than his ground floor for 10 years. He required 500 mL/h of IV fluids to keep abreast of his stool output. A grandson is a waterman and had brought crabmeat to his home a week before the patient became ill.The other two patients were a mother and small child who had eaten cooked crabs bought in a local market. Both did well with outpatient rehydration. Neither patient had been


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.