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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How long does it take to recover from pertussis syndrome?

This disease is called whooping cough mainly because the disease itself has a long course, which led to its name. If not treated in time, some patients may take two to three months to recover. If detected and treated early, generally complete recovery is possible within about 10-20 days. The main symptoms are paroxysmal, spasmodic coughing, some may also exhibit a barking cough, or a crowing inspiration sound, among other typical manifestations.

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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 Li Jian Wu
Pulmonology
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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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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 cause a runny nose?

In the early stages of whooping cough, also known as the incubation period, symptoms similar to those of a cold can occur, including runny nose, sneezing, mild fever, and an irritating dry cough. If the disease progresses for two to four weeks, it typically presents with episodes of spasmodic, convulsive coughing, characterized by a notable change in the sound of the cough. Some children might exhibit a bark-like cough or a crowing-like cough. Accompanying symptoms can include redness of the face and ears, tearing, more runny nose, as well as signs of oxygen deprivation such as nausea, vomiting, and cyanosis of the lips. It is advisable to further conduct pathogen culture to confirm the diagnosis and initiate timely treatment.