Is the lymphocyte count high in whooping cough?

Written by Li Jian Wu
Pulmonology
Updated on April 22, 2025
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Pertussis, a disease caused by a bacterial infection, leads to an increase in lymphocytes beyond normal levels during the acute phase. If secondary infections occur, the relative lymphocyte count may decrease. The examination of these white blood cells is only an auxiliary test; culturing the pathogen or using fluorescent antibody staining are also viable methods that can definitively diagnose a pertussis infection. This condition can cause paroxysmal, spasm-like coughing, and some may exhibit a barking cough. Once diagnosed, medication should be selected according to the treatment course, with regular follow-ups.

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Written by Li Jian Wu
Pulmonology
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Treatment methods for pertussis in children

The treatment methods for pertussis in children mainly involve anti-inflammatory processes, along with etiological treatment. Pertussis in children typically requires the selection of antimicrobial drugs to eradicate Bordetella pertussis. Clinically, macrolide antibiotics are primarily chosen, such as erythromycin, azithromycin, or clarithromycin. Also, depending on the nature of the cough, some central antitussive agents or cough and phlegm relieving drugs can be used to alleviate the symptoms of cough. Additionally, in the acute phase of inflammation where fever is present, antipyretic analgesics should be taken for symptomatic treatment. (Medication use should be under the guidance of a doctor.)

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Written by Zeng Hai Jiang
Pediatrics
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How to determine whether it is the paroxysmal stage or the recovery stage of pertussis?

After the incubation period, typical whooping cough goes through three clinical stages. The first stage is the catarrhal stage, also called the pre-paroxysmal stage, during which the infectivity is the strongest. If treated promptly during this stage, the progress of the disease can be controlled. If the catarrhal stage is not effectively controlled, it then enters the paroxysmal stage. During the paroxysmal stage, the patient will experience episodic spasmodic coughing, with more severe episodes at night. During spasms, there will be neck vein distension, swollen and congested eyelids and face, and cyanosis of the lips. This stage can last up to two months. After the paroxysmal stage follows the convalescent stage, where the episodic spasmodic coughing gradually decreases and becomes less severe.

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Written by Li Jian Wu
Pulmonology
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What causes fever in pertussis?

Pertussis, a symptom caused by the infection of Corynebacterium diphtheriae or Bordetella pertussis, facilitates the presence of these substantive pathogens in the body. These pathogens stimulate the body's temperature regulation center, leading to immune fever symptoms. This is a reaction where the body's resistance is fighting against these pathogens, causing a rise in body temperature which is considered normal. During the acute phase, symptomatic treatment should be administered. At the same time, based on the type of infectious pathogen, a sensitive antimicrobial agent should be chosen for etiological treatment. Additionally, it's important to drink plenty of fluids and maintain clean indoor air.

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Written by Li Jian Wu
Pulmonology
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Characteristics of whooping cough

Whooping cough is a respiratory infectious disease characterized by paroxysmal coughing and spasmodic cough. Some patients may exhibit a crowing sound similar to a rooster's crow or a bark-like cough. Adult patients may experience symptoms such as facial redness, runny nose, and vomiting. Diagnostic confirmation requires appropriate auxiliary tests. Once diagnosed, it is recommended to undergo isolation treatment and choose a sufficient amount of effective antibiotics to eradicate the Bordetella pertussis bacteria.

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Written by Li Jian Wu
Pulmonology
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Why is whooping cough worse at night?

One reason why whooping cough is more severe at night is due to the dry air indoors which irritates, and another reason is due to changes in body posture. As the body is in a supine or lateral position during sleep at night, the bronchial mucous secretion cannot be expelled from the body, which stimulates the bronchial nerves and induces symptoms such as coughing. The typical cough is a paroxysmal spasmodic cough, and it can also lead to red face, runny nose, and in severe cases, nasal discharge, tears, nausea, and vomiting. It is necessary to receive timely anti-inflammatory treatment and maintain the cleanliness of the indoor air.