What causes fever in pertussis?

Written by Li Jian Wu
Pulmonology
Updated on November 20, 2024
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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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Whooping cough is caused by what?

Whooping cough is a type of contagious disease, caused by infection with the Bordetella pertussis or Corynebacterium diphtheriae that causes respiratory infection symptoms. Its characteristics include paroxysmal, hormone-like coughing, commonly seen in clinical paediatrics. It presents specific cough sounds, such as a bark-like cough or a crowing sound during inhalation. If similar symptoms are observed, sputum culture or other diagnostic tests such as chest X-rays and routine blood tests can be performed. Once diagnosed, it is crucial to promptly select macrolide antibiotics to eliminate the pathogens.

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Written by Li Jian Wu
Pulmonology
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Is nebulization useful for pertussis?

Nebulized inhalation for localized treatment of pertussis can be quite effective. It helps alleviate bronchial smooth muscle spasms and is used for spasmodic coughs, effectively easing cough symptoms as a symptomatic treatment measure. However, it is also necessary to target the infectious pathogens with oral or intravenous macrolide antibiotics for anti-inflammatory treatment. Drinking plenty of water, maintaining suitable indoor temperature and humidity, and having confidence in overcoming the disease are important. Although the course of the disease may be long, complete recovery is possible through proper treatment, so there is no need for excessive worry.

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Written by Zeng Hai Jiang
Pediatrics
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Is whooping cough without the crowing sound getting better?

Pertussis without a crowing sound indicates recovery. Pertussis, also known as whooping cough, is an acute respiratory infection caused by Bordetella pertussis, commonly seen in children. The progression of pertussis can be divided into three stages: The first stage is the catarrhal stage, also known as the pre-paroxysmal stage. At the early stage, the child shows symptoms similar to the common cold, followed by worsening cough. If the condition is not effectively controlled during this stage, It then progresses to the second stage, the paroxysmal stage. During the paroxysmal stage, the child exhibits characteristic episodic spasmodic coughing and crowing inhalation sounds. This period can last up to two months. Finally, it moves into the recovery stage. In the recovery stage, the frequency and severity of the episodic spasmodic cough and crowing inhalation sounds gradually alleviate. Thus, the absence of a crowing sound in whooping cough is an indication of approaching recovery.

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Written by Li Jian Wu
Pulmonology
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How to Read Pertussis Test Results

The test for whooping cough is to see if there are any pathogens in the body. If it is confirmed that there is Bordetella pertussis, it can be determined that this disease causes spasmodic coughing, which might be prolonged and recurrent. It may also lead to fever, breathing difficulties, cyanosis of the lips, and signs of hypoxia, requiring symptomatic treatment first. At the same time, selecting macrolide antibiotics to kill the Bordetella pertussis, maintaining a good mental attitude, and ensuring that the room temperature and humidity are kept at appropriate levels are important. Attention should also be paid to the disinfection of the air. Additionally, as it is a communicable disease, isolation treatment is recommended to prevent cross-infection. It is important to adjust your mental attitude, follow the course of medication, and have regular check-ups.

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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.