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Lee Bogh,a 8 y/o, male from South Korea sought consult to the hospital due to loose bowel movement for 2 days. He was
accompanied by his parents, Chi Bogh and Tee Bogh. The parents claimed that the condition started 2 days prior to consultation
when they went for a vacation at La Union. They had a picnic at a local beach resort. When asked what was the previously ingested
food prior to the onset of the signs and symptoms, the parents responded, I remember we ate a local delicacy called adobong
palaka. They added, he was fine not after late that day when he complained of abdominal pain and subsequent diarrhea. It
continued all throughout the day, but had noted to have decreased in the intensity and frequency the day after. 1 tablet of Imodium
was taken but had not provided relief to the condition. The parents had also initiated Oresol therapy giving 1 glass of it every after
bouts of diarrhea. The condition was associated with abdominal pain and episodes of vomiting for 2 times. The vomitus was
described to be watery and was claimed to be the previously ingested food. 4 hours prior to admission, the parents noted that the
condition is getting persistent with 10 bouts of LBM in 24 hours. They described the stool as watery, foul-smelling and yellowish in
color with some formed elements. No traces of blood on stool were claimed. They also noted that their child had been irritable and
weak. Lee Bogh had also lost his appetite, able to consume only of the soft meal served to him. The persistence of the condition
had prompted the parents to seek consult to the hospital.

On admission, the following were noted:

Physical assessment revealed that the child is stuporous and weak. Does not respond to questions appropriately and is having
difficulty engaging in purposeful activities such as his ADLs. When awake, he is irritated and most of the time crying. When asked
about what he wants, he says, I feel so tired and my abdomen is cramping everytime. He frequently asks for a glass of juice or
water. At the age of 8, he can talk fluently in English and Tagalog. No physical deformities were noted, although a scar from a
previous surgery (Appendectomy) on his right lower quadrant was noted. The said procedure was done when the child was 6 years
of age at SLU-HSH by Dr. Domondon, their private physician. The skin is intact, no lesions observed, but noted to be dry and warm
on touch; when the skin was lifted it returned between 1-2 seconds. Lips were dry and cracking; mucosa of mouth still pinkish and
moist. Eyeballs are sunken. Lee has a clear breath sounds, with no occasional coughing episodes. No chest pain was claimed at the
moment but claims of mild, intermittent abdominal pain. The pain was characterized as cramping, radiating to the whole abdomen,
relieved by rest and aggravated by sudden position changes and exposure to cold drafts. The pain was rated as 2/10. The patient can
still rest well, but with interrupted sleeping due to intermittent need to go the comfort room. Muscle strength when assessed was
2/5 on all extremities, with seen difficulty to resist pressure applied on extremities. Abdominal status assessment revealed bowel
sounds of 40-50 bowel sounds per minute on all quadrants of the abdomen. No visible peristalsis and protrusions were observed.
The perineal area is intact but a slight reddening around the skin of the anus was noted. The patient is biologically male. Height and
weight were 36 and 20 kgs respectively. Vital signs on admission were: heart rate : 165 bpm, RR =26 and To = 37.5oC

On history-taking the following were taken: At 6 years of age he was confined at SLU-HSH and had a surgery (Appendectomy), exact
date was unrecalled. He was also diagnosed to have UTI during his confinement but had been resolved before his discharge. He is
also known as an asthmatic patient since 2 years of age. Salbutamol inhaler is used when asthmatic attacks happen. Immunizations
were complete: 3 doses of HepB,OPV, and DPT; a dose of BCG and anti-measles. He also had Flu vaccine, all given by their private
physician. He is allergic to pollens and dust. No known allergies to food and medications was noted. Lee Boghs family is known to be
asthmatic and hypertensive. His grandfather and grandmother from his mothers side died of heart attack and stroke respectively.
His ancestors on his fathers side are at present alive, but his grandfather has DM type 2. Chi Bogh (mother) is known to be
asthmatic too and Tee Bogh (father) is a newly diagnosed hypertensive patient. All of Lees siblings are healthy except the first child
with cerebral palsy.

Lee Bogh is a high school student at De Ocampos International School of Gifted Children. He is the second child of four. His parents
claimed that he is an active child. Usually, he is claimed to be the clown of the family, as he always makes his parents laugh. They
lived and reside on Brentville, Baguio City for 6 years now. They speak Korean, English and can understand and speak some Tagalog.
The family is composed of 6 individuals, four children and the parents, all are active Protestant practitioners. They go to church
every week. They are a typical Korean family who decided to live in Baguio for study and to establish a small business. The family
owns a small restaurant at the neighborhood. The neighborhood was described as clean and non-congested. Household taps were
from the city water district and electricity was supplied by BENECO. Drinking water was purified and delivered to them by a local
businessman. The food were prepared by their Filipina helper who was with them for 2 years. Their diet is mostly composed of
traditional Korean food, such as kimchi, sauted beef and pork with some vegetables. They described it as a balanced diet. They
sometimes include on their diet some Filipino cuisine mostly composing of meat and poultry products. Lee Bogh is said to prefer
adobong manok. He usually eats three times a day with small, light snacks.

Laboratory examinations prescribed and done to him were as follows:

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>CBC revealing RBC of 4.53 (ref.value 4.5-6.5 x10 /L); Hemoglobin 158 (ref value135-175g/L); Hematocrit 0.33 (ref value 0.40-0.54)
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and WBC of 12.6 (ref value 5.0-10.0x10 /L).

>Fecalysis revealed a watery, yellowish stool with no traces of blood but with positive Amoeba ova.
/DBD