The patient was discharged on nalidixic acid to cover for possible
urinary tract infection secondary to damage of the kidney and bladder due to the
toxin. The length of hospital stay was quite prolonged. This may have been due to
the inadequate treatment given at the rural hospital Ð the attending nursing sta
gave 30 ml of i.v. ¯uids per hour instead of 30 ml/kg bodyweight as speci®ed in
the national standard treatment guidelines for dehydration.