Characteristics of whooping cough

Written by Li Jian Wu
Pulmonology
Updated on February 01, 2025
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Whooping cough is a respiratory infectious disease characterized by paroxysmal coughing and spasmodic cough. Some patients may exhibit a crowing sound similar to a rooster's crow or a bark-like cough. Adult patients may experience symptoms such as facial redness, runny nose, and vomiting. Diagnostic confirmation requires appropriate auxiliary tests. Once diagnosed, it is recommended to undergo isolation treatment and choose a sufficient amount of effective antibiotics to eradicate the Bordetella pertussis bacteria.

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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.

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Written by Li Jian Wu
Pulmonology
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What are the symptoms of pertussis encephalopathy?

Pertussis encephalopathy typically presents with persistent high fever, projectile vomiting, nausea, and severe headaches, which are indicators of increased intracranial pressure. It is necessary to conduct timely auxiliary examinations such as cerebrospinal fluid tests and cranial MRI for diagnosis. In conjunction with clinical symptoms, medications to alleviate cerebral edema and reduce intracranial pressure should be chosen for symptomatic treatment. Typically, corticosteroids are needed during the acute phase, along with mannitol, sedatives, and other symptomatic treatments. Additionally, antibiotics should be used to eliminate the Bordetella pertussis bacterium, the pathogen responsible for the condition.

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Written by Li Jian Wu
Pulmonology
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Can whooping cough be cured?

Pertussis, the disease, can be cured with timely and proper treatment, so there's no need to fear. It's important to clear any concerns and understand this correctly. Pertussis is primarily an acute infectious respiratory disease caused by Bordetella pertussis or Corynebacterium diphtheriae. The main clinical approach is to prevent the disease by administering the DTP vaccine. Once infected, the disease is characterized by typical paroxysmal bouts of coughing, including spasmodic coughing, sometimes accompanied by a crowing inspiratory stridor, and in some cases, symptoms resembling a barking cough. It is called pertussis because the course of the disease is long, but there should be no excessive fear as it can be completely cured with prompt treatment.

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Written by Zeng Hai Jiang
Pediatrics
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How to determine whether it is the paroxysmal stage or the recovery stage of pertussis?

After the incubation period, typical whooping cough goes through three clinical stages. The first stage is the catarrhal stage, also called the pre-paroxysmal stage, during which the infectivity is the strongest. If treated promptly during this stage, the progress of the disease can be controlled. If the catarrhal stage is not effectively controlled, it then enters the paroxysmal stage. During the paroxysmal stage, the patient will experience episodic spasmodic coughing, with more severe episodes at night. During spasms, there will be neck vein distension, swollen and congested eyelids and face, and cyanosis of the lips. This stage can last up to two months. After the paroxysmal stage follows the convalescent stage, where the episodic spasmodic coughing gradually decreases and becomes less severe.

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Written by Zeng Hai Jiang
Pediatrics
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What should be paid attention to in the diet for whooping cough?

Whooping cough is an acute respiratory infectious disease caused by infection with Bordetella pertussis, mainly characterized by paroxysmal spasmodic cough, crowing inspiratory noise, commonly seen in children. In terms of diet, children with whooping cough should eat light and nutritious food. Do not eat spicy, greasy, or cold foods, as spicy foods can irritate the tracheal mucosa, and cold or greasy foods can damage the spleen and stomach, potentially exacerbating inflammatory changes.