Diagnosis
Lots and lots of watery diarrhea after travel from an endemic site.
Epidemiologic Risks
Drinking contaminated water.
Microbiology
Vibrio cholerae species.
Empiric Therapy
Fluid replacement, tetracycline OR quinolone (resistance is increasing), 1 gm single dose azithromycin was effective against Vibrio cholerae O1 or O139 (PubMed).
Pearls
There have been seven cholera pandemics in the past 200 years.
Last Update: 06/10/18.