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Query: UMLS:C0027497 (nausea)
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The Florida Department of Health, Florida, United States, is investigating a Vibrio cholerae O75 outbreak. Ten cases with disease onsets from 23 March to 13 April 2011, presented with gastrointestinal symptoms of diarrhoea, nausea, vomiting, cramps, chills, and/or fever, after consuming raw or lightly cooked oysters harvested from Apalachicola Bay, Florida. Symptoms were milder than those during outbreaks of epidemic (serogroup O1 and O139) Vibrio cholerae; no case required rehydration treatment or hospitalisation.
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PMID:Toxin producing Vibrio cholerae O75 outbreak, United States, March to April 2011. 2161 48

Vibrio cholerae non-O1 have caused several well-studied food-borne outbreaks of gastroenteritis and also have been responsible for sporadic cases of otitis media, wound infection, and bacteremia. Few cases of liver abscess caused by Vibrio cholerae non-O1 have been reported. A 73-year-old man with underlying diabetes mellitus was admitted with nausea, vomiting, dyspepsia and febrile sensation. We identified Vibrio cholerae non-O1 in his blood cultures and multiple hepatic microabscess on abdominal computed tomography. He was treated with systemic antibiotics and fluid therapy, but died due to septic shock on sixth day. We report here, a case of liver abscess with bacteremia due to Vibrio cholerae non-O1 in a patient with diabetes mellitus.
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PMID:[A case of liver abscess and bacteremia caused by Vibrio cholerae non-O1]. 2219 34

Vibrio cholerae is a Gram-negative bacilli with curved, comma shape that belongs to the family Vibrionaceae. The antigenic structure consists of a flagellar H antigen and a somatic O antigen (used to classify V cholerae in various serogroups). Serogroups 01 and 0139 have caused epidemics of cholera. Vibrio cholerae non-01 non-139 has been isolated from patients with bacteremia, acute secretory diarrhea, dysentery, abdominal pain, nausea, vomiting, fever and cellulitis. Invasive forms such as meningitis, spontaneous bacterial peritonitis (SBP) and encephalitis are uncommon. Immunosuppression and cirrhosis are risk factors for developing invasive disease. This case report describes a cirrhotic patient from Salta, Argentina, consulting for abdominal pain and fever. He was diagnosed with SBP and Vibrio cholerae non-01 non-139 bacteremia. He received antibiotic treatment with third generation cephalosporins for fourteen days with favorable clinical outcome.
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PMID:[Spontaneous bacterial peritonitis associated with Vibrio cholerae non-O1, non-O139 bacteremia]. 2328 1

We report the first case of acute Vibrio cholerae infection with computed tomography (CT) changes consistent with mesenteric panniculitis (MP). A 78-year-old Indian man returned from overseas travel with progressively severe nausea, vomiting, abdominal pain, and watery diarrhea. His stool tested positive twice for Vibrio cholerae. CT revealed prominent lymph nodes and a hazy mesentery consistent with MP. Antibiotic treatment resulted in complete resolution of MP on follow-up CT 8 months later. In the setting of Vibrio cholerae infection, the CT finding of MP appears to be the result of a immunologically mediated reactive inflammatory disorder of the mesentery.
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PMID:Mesenteric Panniculitis Associated With Vibrio cholerae Infection. 2650 76

I propose that the phenomenology of Edmund Husserl provides a meaningful mode of access to the patient experience. By reflecting on a real-life encounter with grief, my own medical training, and two works of literature, Nausea and Love in the Time of Cholera, I illustrate the application of philosophy and specifically phenomenology to clinical education. Phenomenology allows clinicians to strip away assumptions, habits of thinking, and normative ideas within the clinical encounter in order to enter the descriptive world of the patient. In suspending presuppositions and heuristics, the clinician can better empathize with the vivid, embodied stories that the patient is describing. Finally, the practice of phenomenology makes tangible the complexities of medical illnesses, emotions, and lived experiences.
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PMID:The "things themselves": challenging heuristics and inciting empathy via Husserlian phenomenology. 3158 5


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