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Cholera is a contagious infection caused by the bacteria Vibrio cholerae, leading to severe gastroenteritis and excessive watery diarrhea, which can result in rapid dehydration and electrolyte imbalances, potentially fatal as seen in the cases of James K. Polk and Charles X. Vibrio cholerae is a gram-negative, curved bacterium resembling pink comma shapes in a gram stain, positive for oxidase, and able to grow in alkaline media. It possesses pili and a single polar flagellum for movement in the gastrointestinal tract. As a facultative anaerobe, it can perform both respiratory and fermentative metabolism.