How is whooping cough diagnosed?

Written by Li Jian Wu
Pulmonology
Updated on November 12, 2024
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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 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 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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Whooping cough vaccine

The vaccine for pertussis is generally a type of compound vaccine, belonging to the triple vaccine category, primarily the DTP vaccine. This vaccine can prevent common infectious pathogens such as whooping cough, diphtheria, and tetanus. It is necessary to take children to the hospital for timely vaccinations according to the treatment schedule to effectively produce antibodies, which can provide effective prevention and treatment. It is also important to pay attention to the cleanliness of indoor air, ensure indoor air disinfection, and avoid going to crowded environments, especially during the flu season to strengthen protection.

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Written by Zeng Hai Jiang
Pediatrics
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How long does it usually take for the blood picture of pertussis to come down when it's too high?

Whooping cough is an acute respiratory infectious disease caused by Bordetella pertussis infection, commonly seen in children. The main clinical symptoms include typical paroxysmal spasmodic cough, crowing inspiratory whoop, with the cough being more prominent at night. In the peripheral blood, there will be a marked increase in white blood cell count, lymphocyte count, and lymphocyte classification. After a confirmed diagnosis of whooping cough, macrolide antibiotics are administered. After a week of aggressive treatment, the blood count typically decreases significantly.

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Written by Li Jian Wu
Pulmonology
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Is the lymphocyte count high in whooping cough?

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.