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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Whooping cough is transmitted through respiratory droplets.

Pertussis is mainly transmitted through airborne droplets and is a commonly seen respiratory infectious disease in clinical settings. If a child is at school and classmates have pertussis without antibodies in their body, it is quite possible for the infection to occur, commonly seen in babies under five years old. If there are episodes of spasmodic, convulsive coughing accompanied by a barking sound or a crowing sound during inhalation, this disease should be highly suspected, and prompt culturing of the pathogen is needed for confirmation.

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Written by Li Jian Wu
Pulmonology
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Whooping cough vaccine at what age?

The pertussis vaccine is generally administered within the first year of age. Under normal circumstances, children should be taken to hospitals or public health prevention stations for vaccination according to the course of treatment. The first dose starts at the third month after birth, followed by the second dose at four months and the third dose at five months old. A booster can be administered when the baby is two years old. The DTP vaccine used in clinics mainly consists of three components: pertussis, diphtheria, and tetanus.

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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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Pulmonology
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Treatment methods for pertussis

For the treatment of whooping cough, the first step should be to drink plenty of water and maintain a suitable indoor temperature and humidity. In terms of medication, it is necessary to choose macrolide antibiotics and adhere to an inflammatory treatment course. Clinically common drugs include erythromycin, roxithromycin, azithromycin, clarithromycin, etc., and generally, medication is required for at least about ten days. At the same time, it is recommended to use antitussive and expectorant drugs. If there are symptoms of breathing difficulty, oxygen inhalation can also be administered. There are many expectorant drugs clinically available, such as carbocisteine or She Dan Chuan Bei liquid, ambroxol oral solution, etc., all of which can serve the function of suppressing coughs and expelling phlegm.

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Written by Li Jian Wu
Pulmonology
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What does whooping cough mean?

Pertussis, also known as whooping cough, is a respiratory infectious disease caused by the infection of Bordetella pertussis and Corynebacterium diphtheriae, leading to inflammatory reactions in the respiratory tract. Typical symptoms include paroxysmal coughing, which is intense and can cause redness in the face and ears, runny nose, and even vomiting. Diagnosis can be confirmed through sputum culture, pathogen cultivation, routine blood tests, and chest X-rays, among other auxiliary examinations.