Table 1.
Asymptomatic infection | Mild infection | Severe infection | |
---|---|---|---|
Symptoms | None | Diarrhoea* | Vomiting and profuse diarrhoea |
Dehydration | None | None to mild | Moderate to severe (hypovolaemic shock) |
Stool characteristics | Normal | Loose or watery | Rice water |
Vibrios per gram of stool | Up to 105 | Up to 108 | 107 to 109 in stool (and vomitus) |
Treatment | None | Oral rehydration solution (ORS) | ORS, intravenous fluids and antibiotics‡ |
Mortality | None | None | Untreated: up to 50% Treated: less than 1% |
Mild symptoms of Vibrio cholerae infection are indistinguishable from those of numerous other infectious causes of gastroenteritis.
Antibiotics shorten the duration of symptoms and lessen the total fluid requirement but are not strictly necessary.