Acute Renal Failure Secondary to Vibrio cholera Gastroenteritis in a United States Citizen, Corrected With Renal Replacement Therapy

Division

East Florida

Hospital

Northwest Medical Center

Document Type

Case Report

Publication Date

9-9-2024

Keywords

Cholera, Dialysis, High anion gap metabolic acidosis, Renal failure

Disciplines

Bacterial Infections and Mycoses | Digestive System Diseases | Internal Medicine | Medicine and Health Sciences

Abstract

Cholera is an acute gastroenteritis that can lead to fatal dehydration and metabolic derangements. Cases of cholera in the United States are typically associated with international travel. Patients who are persistently dehydrated despite aggressive rehydration and antibiotic therapy may require hemodialysis until symptom resolution and stabilization of renal function. We present a case of a 47-year-old male who recently returned from a trip to Haiti and presented with intractable abdominal pain, nausea, vomiting, and watery diarrhea. He was found to be in acute renal failure with a high anion gap metabolic acidosis of an unclear etiology. Abdominal imaging was consistent with enterocolitis, and his stool culture grew

Publisher or Conference

Journal of Community Hospital Internal Medicine Perspectives

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