How to treat recurrent pertussis?

Written by Li Jian Wu
Pulmonology
Updated on June 06, 2025
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For recurrent whooping cough, it is crucial to promptly and adequately select sensitive antimicrobial drugs according to the treatment course. Generally, macrolide antibiotics or amide antibiotics can be used for anti-inflammatory treatment. Also, drink more water and avoid overly spicy, greasy foods. If the patient is weak and has low immunity, transfer factors or splenopentin can be chosen to enhance the body's passive immunity. Regular outdoor exercise should be engaged in, and the diet should be nutritionally balanced with less snacking and more consumption of fresh vegetables and fruits.

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Written by Li Jian Wu
Pulmonology
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Can whooping cough heal on its own?

Pertussis, also known as whooping cough, can recover on its own if the viral load is low and symptoms are mild. However, if symptoms are more typical and accompanied by fever, difficulty breathing, and paroxysmal convulsive coughing, it generally cannot recover without medical help and requires a combination of sensitive antibiotics and symptomatic treatment. Common choices include macrolide antibiotics, such as erythromycin, clarithromycin, and azithromycin. If there are symptoms of respiratory difficulty, oxygen inhalation can be used to alleviate the signs of mucosal hypoxia.

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

Pertussis, commonly known as whooping cough, is primarily caused by the infection of Bordetella pertussis. The main transmission routes are through the respiratory tract or via close contact, particularly in classrooms where young children are present, which can easily lead to cross-infection. The disease has an incubation period of about three to seven days, and in some cases, it can range from two to three weeks. Children under the age of five have the highest incidence rate. Clinically, vaccination is recommended for prevention. Once infected, the early stages of the disease resemble those of a common cold, with typical symptoms being paroxysmal, spasmodic coughing.

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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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How is whooping cough diagnosed?

If the body exhibits symptoms of coughing, and persistent cough which highly suspects whooping cough, bacterial culture can be performed. Initially, a nasopharyngeal swab can be taken; during the spasmodic phase of coughing, sputum culture can be chosen for specimen collection for bacterial culture, with a higher positive rate in the early stages. Fluorescent antibody staining can also be conducted, which involves making a smear from a nasopharyngeal swab, aiding in rapid diagnosis. Serological tests can also be performed, conducting double serum agglutination tests and complement fixation tests, and if the antibody titer rises, it can be confirmed as an infection of this disease.

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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.