What are the symptoms of whooping cough?

Written by Li Jian Wu
Pulmonology
Updated on September 06, 2024
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Pertussis, also known as whooping cough, typically manifests as paroxysmal coughing. During the acute phase, the cough is spasmodic, and some patients may produce sounds similar to a dog's bark or a rooster's crow. This type of cough can lead to complications such as a runny nose, tearing, facial flushing, red ears, and vomiting. Diagnosis should be confirmed through routine examination of secretions. During the acute phase, symptomatic treatment should be administered, along with the selection of macrolide antibiotics to eliminate the pathogenic bacteria, which are mostly due to infection by Corynebacterium diphtheriae or Bordetella pertussis. Patients should adjust their mindset, drink plenty of warm water, and maintain clean indoor air.

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Written by Li Jian Wu
Pulmonology
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Can whooping cough recur?

Pertussis, a respiratory infectious disease, is contagious and mainly transmitted through airborne droplets. Once infected and treated promptly and properly, the body will develop immunity and produce antibodies, though not for life. Relapse is possible, but generally, it does not recur within three to five years after recovery. If symptoms of cold and cough appear, it is possible that they are caused by other pathogens or allergic factors.

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Written by Tong Peng
Pediatrics
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The difference between pertussis and allergic cough

Pertussis (whooping cough) and allergic cough are different. Firstly, pertussis is an acute respiratory infectious disease caused by Bordetella pertussis. Its symptoms include paroxysmal and frequent coughing, sometimes accompanied by a deep, crowing, inspiratory whoop sound. If not treated promptly, the condition can last for several months, which is why it is called whooping cough. Due to its high contagiosity and epidemic history, if infants contract pertussis, their condition can worsen, making them prone to complications like severe pneumonia or heart failure. However, allergic cough is a non-infectious condition primarily caused by hypersensitivity of the airways, easily triggered by various external allergens, leading to irritating dry coughs, but not worsening to lower respiratory tract infections. In daily life, by avoiding environmental allergens and using treatments such as nebulization and oral antiallergic medications, management is possible.

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Written by Li Jian Wu
Pulmonology
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Does whooping cough require isolation?

Pertussis, this contagious disease, once diagnosed, requires isolation to prevent infection to healthy children or even adults with low immunity. It is necessary to provide an isolated room for the child, and attention should be paid to indoor ventilation, appropriate temperature, frequent cleaning and sunning of clothes and bedding, ensuring adequate and good sleep, and maintaining clean, ventilated air indoors. Dietary adjustments should also be made, avoiding too cold, spicy, or acidic foods. Timely selection of sensitive antibacterial drugs and cough suppressants can help alleviate symptoms of coughing and wheezing.

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Written by Li Jian Wu
Pulmonology
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What are the symptoms of whooping cough?

Pertussis has many symptoms. The early symptoms are the same as those of a common cold, including a runny nose, sore throat, and fever. About one to two weeks later, episodic, spastic coughing occurs. Some may also experience a barking cough and a crowing sound during inhalation, which are characteristic symptoms of pertussis. This type of cough can lead to complications such as an acute facial expression, redness in the face and ears, runny nose, tears, and vomiting. It is necessary to culture the pathogen and choose sensitive antibiotics to kill this bordetella pertussis.

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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.