How long does it usually take for the blood picture of pertussis to come down when it's too high?

Written by Zeng Hai Jiang
Pediatrics
Updated on January 12, 2025
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Whooping cough is an acute respiratory infectious disease caused by Bordetella pertussis infection, commonly seen in children. The main clinical symptoms include typical paroxysmal spasmodic cough, crowing inspiratory whoop, with the cough being more prominent at night. In the peripheral blood, there will be a marked increase in white blood cell count, lymphocyte count, and lymphocyte classification. After a confirmed diagnosis of whooping cough, macrolide antibiotics are administered. After a week of aggressive treatment, the blood count typically decreases significantly.

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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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How to Read Pertussis Test Results

The test for whooping cough is to see if there are any pathogens in the body. If it is confirmed that there is Bordetella pertussis, it can be determined that this disease causes spasmodic coughing, which might be prolonged and recurrent. It may also lead to fever, breathing difficulties, cyanosis of the lips, and signs of hypoxia, requiring symptomatic treatment first. At the same time, selecting macrolide antibiotics to kill the Bordetella pertussis, maintaining a good mental attitude, and ensuring that the room temperature and humidity are kept at appropriate levels are important. Attention should also be paid to the disinfection of the air. Additionally, as it is a communicable disease, isolation treatment is recommended to prevent cross-infection. It is important to adjust your mental attitude, follow the course of medication, and have regular check-ups.

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Written by Li Jian Wu
Pulmonology
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Is whooping cough contagious?

Whooping cough is a contagious disease, and principally transmitted from person to person. Currently, an effective way to prevent this disease is by vaccination with the DTaP vaccine. The name "whooping cough" does not mean the cough lasts for a hundred days; this is just a colloquial expression referring to its prolonged duration. The primary symptoms of this disease include severe, spasmodic coughing, during which the patient may exhibit redness in the face and ears, a runny nose, and even nausea and vomiting. Additional symptoms can include cyanosis of the lips and choking. In severe cases, it can cause whole-body convulsions leading to ischemic and hypoxic encephalopathy. Once diagnosed, it is crucial to promptly treat with antibiotics and medications that relieve bronchial smooth muscle spasms. During the acute phase, corticosteroids may also be used in treatment.

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Written by Zeng Hai Jiang
Pediatrics
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What should be paid attention to in the diet for whooping cough?

Whooping cough is an acute respiratory infectious disease caused by infection with Bordetella pertussis, mainly characterized by paroxysmal spasmodic cough, crowing inspiratory noise, commonly seen in children. In terms of diet, children with whooping cough should eat light and nutritious food. Do not eat spicy, greasy, or cold foods, as spicy foods can irritate the tracheal mucosa, and cold or greasy foods can damage the spleen and stomach, potentially exacerbating inflammatory changes.

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Written by Yan Xin Liang
Pediatrics
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Symptoms and Treatment of Whooping Cough in Children

The common symptoms of whooping cough are coughing, prolonged coughing, and spasmodic coughing, which ends with a crowing sound, and it mainly occurs during the night. The face may turn bright red during coughing, which is a typical symptom of whooping cough. For treatment, in the early stages of whooping cough, erythromycin is definitely used and can be effective. However, in pediatrics, if the whooping cough has lasted for a long time, the effectiveness of the treatment is relatively not as good. If the coughing period is long and medication is used in the middle to late stages, even with some treatment, it might still continue for two to three months. Although treatments like cough suppressants and expectorants can alleviate the symptoms, a cough usually still persists to some degree.