Can you still get infected with whooping cough after recovery?

Written by Wu Ben Rong
Pediatrics
Updated on May 27, 2025
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If whooping cough has been cured, generally, it won’t infect a person again. However, clinically, a small number of patients might get infected again due to weak immunity, though such cases are relatively rare.

Whooping cough is caused by an infection with Bordetella pertussis and is an acute respiratory infectious disease. The source of infection in whooping cough is the patient themselves, and the disease can spread through airborne droplets. Most people who contract this disease will develop corresponding antibodies, so generally, they will not get infected again after recovery.

However, some patients with weak constitutions and low immunity might not develop sufficient antibodies after the initial infection, which can potentially lead to a reinfection.

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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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Is whooping cough an infectious disease?

Pertussis, also known as whooping cough, is a contagious disease that is a respiratory tract infection. It primarily spreads through airborne droplets and close daily contact. Clinically, there is a vaccine available for this condition, mainly the DTP (diphtheria, tetanus, and pertussis) vaccine. Following the vaccination schedule and developing antibodies can effectively prevent the disease. This disease has a lengthy course and can easily cause recurrent coughing episodes and persistent symptoms. It is important to correctly understand and be aware of the characteristics of its onset. If suspected, early examination and timely selection of medications for symptom control are essential, along with addressing the underlying cause.

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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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Characteristics of whooping cough

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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Pertussis transmission routes

Pertussis, commonly known as whooping cough, is a contagious respiratory disease often seen in children. It is typically caused by infection with the Bordetella pertussis or Corynebacterium diphtheriae bacteria, and is mainly transmitted through airborne droplets and close contact with infected individuals. It has a strong contagion potential, with contagiousness becoming significant about two to three weeks from the incubation period to the onset of symptoms. Once diagnosed, it is crucial to isolate the patient promptly and administer medications to alleviate discomfort. Diagnosis is usually confirmed through the cultivation of the pathogen. Treatment includes medications to thin the mucus, isolation of the infectious source, and the use of macrolide antibiotics like erythromycin or azithromycin to manage inflammation during the acute phase.