Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918

This article has now been updated. Please use the final version.

A Case of Vibrio cholerae Infection in Japan Not Associated with Overseas Travel
Masao TatebeAsako DoiSeiko NasuNatsuki HamaRyohei NomotoEiji ArakawaHidemasa IzumiyaHiroaki Nishioka
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JOURNAL OPEN ACCESS Advance online publication

Article ID: 2639-19

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Abstract

A 74-year-old Japanese man who was taking antacids presented with profuse diarrhea. Stool culture revealed Vibrio cholerae O1 strain, serogroup Ogawa, biotype El tor. He recalled he had consumed some sashimi but denied any history of travelling abroad, and another cholera case with almost the same strain was reported at the same time in a remote prefecture in the Kanto area. This is a rare case of travel-unrelated cholera in Japan, and it illustrates the importance of suspecting cholera in all patients presenting with large volumes of watery diarrhea in Japan, especially in those who are taking antacids, regardless of their international travel history.

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© 2019 by The Japanese Society of Internal Medicine
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