Vibrio cholerae is a Gram-negative, comma-shaped bacterium that lives naturally in brackish or saltwater. Some strains of V. cholerae cause the disease cholera when ingested in contaminated food or water. Cholera results in severe diarrhea and vomiting that can lead to rapid dehydration. The disease was first isolated in 1854 by Filippo Pacini, who observed the bacterium microscopically in samples from cholera patients. V. cholerae produces a cholera toxin that increases intestinal fluid secretion and capillary permeability, causing the profuse diarrhea and dehydration associated with cholera.