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 Li Jian Wu
Pulmonology
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Can you still get whooping cough even if you have been vaccinated?

If the whooping cough vaccine is administered effectively and antibodies are produced, it generally prevents reinfection. However, if the vaccine is not administered according to the prescribed schedule, or if no antibodies are produced after the vaccination, exposure to this pathogen may still lead to infection. The disease is characterized by fits of coughing, which can cause blushing, runny nose, tears, nausea, and vomiting. Some children may also experience a barking cough and a crowing sound during inhalation.

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Written by Li Jian Wu
Pulmonology
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What are the symptoms of whooping cough?

Pertussis, a disease caused by infection with the Bordetella pertussis or Corynebacterium diphtheriae, is a contagious respiratory illness. The typical symptom is severe coughing, which presents as paroxysmal, rapid coughing fits. This coughing can lead to redness in the face and ears, a runny nose, tears, and bulging neck veins. If these coughing symptoms are prolonged, it is advisable to visit a hospital to check the pathogen in the secretions. Once the pathogen is confirmed, treatment can include oral or intravenous macrolide antibiotics to control the infection, along with symptomatic treatment. (Note: The use of medications should be under the guidance of a professional doctor.)

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Written by Yan Xin Liang
Pediatrics
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Pertussis prone age group

Pertussis, also known as whooping cough, is an acute respiratory infectious disease caused by Bordetella pertussis. The main age group affected by this disease are infants and young children, with the highest susceptibility seen in children under five years old, particularly infants younger than one year. The incidence of this disease has significantly decreased due to the widespread implementation of pertussis vaccination. Clinically, the disease is characterized by a cough that gradually worsens, presenting as typical paroxysmal, frequent coughing, and frothy sputum, with a crowing echo in the cough. The course of the disease can last up to three months.

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Written by Li Jian Wu
Pulmonology
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Pertussis is diagnosed through what?

Whooping cough is a respiratory infectious disease, generally diagnosed through typical clinical symptoms and laboratory test results. Typical symptoms include paroxysmal, spasmodic coughing, which can also lead to flushed face and ears, runny nose, acute sickly appearance, while some patients may have a cough that sounds like a puppy's bark and others may exhibit a crowing sound during inhalation. During this period, sputum pathogen culture or other auxiliary examinations can be used for diagnosis, and sensitive antimicrobial drugs can be chosen for anti-inflammatory treatment.