Pertussis is diagnosed through what?

Written by Li Jian Wu
Pulmonology
Updated on December 28, 2024
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Whooping cough is a respiratory infectious disease, generally diagnosed through typical clinical symptoms and laboratory test results. Typical symptoms include paroxysmal, spasmodic coughing, which can also lead to flushed face and ears, runny nose, acute sickly appearance, while some patients may have a cough that sounds like a puppy's bark and others may exhibit a crowing sound during inhalation. During this period, sputum pathogen culture or other auxiliary examinations can be used for diagnosis, and sensitive antimicrobial drugs can be chosen for anti-inflammatory treatment.

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Written by Li Jian Wu
Pulmonology
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Where to get tested for whooping cough

Pertussis, commonly known as whooping cough, is a prevalent infectious respiratory disease in children. If the disease is suspected, one can visit a nearby public hospital for a physical examination. Tests can include a complete blood count and erythrocyte sedimentation rate, as well as a sputum culture to identify pathogens such as Corynebacterium diphtheriae and Bordetella pertussis for diagnosis. Typical symptoms include a cough resembling a dog's bark or a crowing sound. Prompt treatment with macrolide antibiotics and cough suppressants and expectorants is necessary to alleviate discomfort.

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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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Is nebulization useful for pertussis?

Nebulized inhalation for localized treatment of pertussis can be quite effective. It helps alleviate bronchial smooth muscle spasms and is used for spasmodic coughs, effectively easing cough symptoms as a symptomatic treatment measure. However, it is also necessary to target the infectious pathogens with oral or intravenous macrolide antibiotics for anti-inflammatory treatment. Drinking plenty of water, maintaining suitable indoor temperature and humidity, and having confidence in overcoming the disease are important. Although the course of the disease may be long, complete recovery is possible through proper treatment, so there is no need for excessive worry.

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Written by Zeng Hai Jiang
Pediatrics
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Is whooping cough without the crowing sound getting better?

Pertussis without a crowing sound indicates recovery. Pertussis, also known as whooping cough, is an acute respiratory infection caused by Bordetella pertussis, commonly seen in children. The progression of pertussis can be divided into three stages: The first stage is the catarrhal stage, also known as the pre-paroxysmal stage. At the early stage, the child shows symptoms similar to the common cold, followed by worsening cough. If the condition is not effectively controlled during this stage, It then progresses to the second stage, the paroxysmal stage. During the paroxysmal stage, the child exhibits characteristic episodic spasmodic coughing and crowing inhalation sounds. This period can last up to two months. Finally, it moves into the recovery stage. In the recovery stage, the frequency and severity of the episodic spasmodic cough and crowing inhalation sounds gradually alleviate. Thus, the absence of a crowing sound in whooping cough is an indication of approaching recovery.

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Written by Li Jian Wu
Pulmonology
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Can whooping cough get better without treatment?

Can whooping cough recover without treatment? There is individual variation in clinical cases. If the patient has mild symptoms, it is possible for them to recover on their own without treatment. If the symptoms are more typical, timely anti-inflammatory treatment is necessary; otherwise, it may lead to other complications. If there are no complications and the immune system is normal, natural recovery may also be possible, but the duration of the illness will likely be longer. Treatment decisions should primarily consider the patient's resistance and general physique. From a health perspective, once diagnosed, it is necessary to promptly use macrolide antibiotics to eliminate the Bordetella pertussis bacteria.