The "hundred days" in whooping cough refers to what?

Written by Li Jian Wu
Pulmonology
Updated on April 17, 2025
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The whooping cough we refer to clinically is a type of respiratory infectious disease. The term "hundred days" relates to the duration of the disease, which is relatively long, sometimes approaching one hundred days, hence the name whooping cough. However, it does not necessarily mean that one will cough or be infected for such a long duration. The specific circumstances should be determined according to the number of infecting pathogens and the body's immune response. If the immune system is normal and the infection is minor, some patients can recover without medication. Once a severe infection is diagnosed, it is crucial to promptly use sensitive antibiotics and engage in timely anti-inflammatory and symptomatic treatment.

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Written by Li Jian Wu
Pulmonology
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How is whooping cough treated?

Pertussis, also known as whooping cough, is an infectious respiratory disease caused by the infection of Bordetella pertussis or Bordetella parapertussis. Clinically, it is characterized by episodes of sudden, rapid coughing, a bark-like cough, and an inspiratory "crowing" sound. It is also advisable to check the sputum culture to confirm the cause of the disease. In terms of treatment, in addition to symptomatic treatment, macrolide antibiotics should be selected and administered for at least about half a month. Options include intravenous drips of erythromycin injection or azithromycin injection.

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Written by Li Jian Wu
Pulmonology
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Where to treat whooping cough?

Pertussis, a respiratory infectious disease, is recommended to be checked and treated at local formal medical institutions. Once diagnosed, the main principle is to kill the Corynebacterium diphtheriae and choose sensitive antibiotics, such as macrolide antibiotics like erythromycin, azithromycin, or clarithromycin. Additionally, symptomatic treatment should be provided, including oxygen therapy for breathing difficulties, using medications to relieve bronchial smooth muscle spasms, thinning mucus, and alleviating uncomfortable symptoms such as coughing. It is also important to drink plenty of water, rest, and maintain good hygiene.

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Written by Li Jian Wu
Pulmonology
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Can whooping cough recur?

Pertussis, a respiratory infectious disease, is contagious and mainly transmitted through airborne droplets. Once infected and treated promptly and properly, the body will develop immunity and produce antibodies, though not for life. Relapse is possible, but generally, it does not recur within three to five years after recovery. If symptoms of cold and cough appear, it is possible that they are caused by other pathogens or allergic factors.

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Written by Zeng Hai Jiang
Pediatrics
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Will there be shadows in the lungs after recovery from whooping cough?

Whooping cough is an acute respiratory infectious disease caused by Bordetella pertussis infection, commonly seen in children, with children under five years old being the most susceptible. The main clinical symptoms include paroxysmal spasmodic coughing and a crowing, inspiratory whoop, with the cough being more pronounced at night. The symptoms of whooping cough are severe, but the physical signs are mild. During lung auscultation, no dry or moist rales can generally be heard, and imaging examinations are also normal. However, whooping cough may be complicated by bronchopneumonia, bronchiectasis, and other complications, in which case lung X-rays may show shadows, but these shadows will disappear after recovery from the treatment.

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Written by Li Jian Wu
Pulmonology
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What does "one hundred days" in whooping cough refer to?

The clinical term "whooping cough" is so named because the term "hundred days" refers to the duration of the cough, symbolizing that the cough lasts a long time, the disease course is prolonged, and it tends to recur. It doesn’t necessarily mean that one will cough for exactly one hundred days. One should relax and have the correct understanding. For treating such diseases, sensitive antibiotics should be used promptly, along with symptomatic treatment. Blood tests such as a complete blood count and C-reactive protein should be conducted, along with chest X-ray, and sputum pathogen culture for definitive diagnosis, to ensure early detection and treatment.