late stage symptoms of whooping cough

Written by Li Jian Wu
Pulmonology
Updated on February 10, 2025
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Pertussis, also known as whooping cough, is a highly contagious respiratory disease caused by the Bordetella pertussis or Corynebacterium diphtheriae bacteria. After infection, paroxysmal coughing occurs, and in later stages, the frequency of coughing episodes decreases and the duration of symptoms shortens. The main treatment should involve the use of macrolide antibiotics to eliminate the pathogen. Additionally, it is advisable to drink plenty of water, rest adequately, measure body temperature twice daily, and avoid excessive fatigue. As long as function and symptoms gradually ease, it indicates the recovery phase is beginning, generally requiring about fifteen to twenty days for complete recovery.

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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 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 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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whooping cough symptoms

Whooping cough is a common respiratory infectious disease, mainly caused by infection with Bordetella pertussis. Typical symptoms include colds, runny nose, etc., and feature paroxysmal coughing. The main characteristic is paroxysmal, spasmodic coughing that occurs in strings, with more than ten or even dozens of coughs at a time. The coughing increases abdominal pressure, leading to nausea and vomiting. Infants and young children may also experience a barking cough and wheezing. Some may also experience symptoms such as urinary and fecal incontinence, flushed face, runny nose, teary eyes, and cyanosis of the lips. Once diagnosed, it is important to promptly select sensitive antibiotics for anti-inflammatory treatment. Currently, the main approach to managing this disease is prevention, including timely vaccination against whooping cough.

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

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.