Will there be shadows in the lungs after recovery from whooping cough?

Written by Zeng Hai Jiang
Pediatrics
Updated on April 03, 2025
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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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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.

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Written by Li Jian Wu
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How is whooping cough diagnosed?

If the body has chronic cough symptoms that do not heal over time and recur frequently, it is suspicious of pertussis infection. To confirm this disease, corresponding auxiliary examinations are needed, such as a complete blood count and sputum culture. If Bordetella pertussis or Corynebacterium diphtheriae are cultured from the sputum, a diagnosis can be made. It is also necessary to combine clinical symptoms and promptly use sensitive antibiotics and cough-relieving expectorant drugs for symptomatic treatment, adjusting the mindset to avoid mental tension.

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Does whooping cough infect adults?

Pertussis, a respiratory infectious disease, can also be transmitted to adults, although the chances are generally small. It mostly occurs in adults with low immunity and those who are frail and ill when they come into contact with the pathogen. The incubation period is about two to three weeks, during which paroxysmal cluster-like coughing occurs, causing facial redness and a runny nose. Some may also experience nausea and vomiting. It is necessary to check chest X-rays, routine blood tests, and sputum pathogen cultures for diagnosis. Early detection and treatment are crucial to prevent other complications.

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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.

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Written by Li Jian Wu
Pulmonology
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Can adult whooping cough heal itself?

Adults with pertussis, a condition that can resolve on its own if the symptoms are mild and the body's immune function is normal. However, decisions should be based on individual constitution, and not all patients can self-heal, especially those who are frail or have endocrine diseases generally cannot recover on their own. It is necessary to timely choose macrolide antibiotics and combine them with symptomatic treatment to alleviate symptoms such as cough, difficulty breathing, and fever. Regular exercise is needed to boost immunity.