The difference between pertussis and allergic cough

Written by Tong Peng
Pediatrics
Updated on November 16, 2024
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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.

Other Voices

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Written by Zeng Hai Jiang
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Why is whooping cough milder during the day and worse at night?

Whooping cough is an acute respiratory infectious disease caused by Bordetella pertussis infection, commonly seen in children. The main symptoms are paroxysmal spasmodic coughing, a crowing inspiratory noise, with coughing occurring both during the day and at night, more significantly at night. The main reasons are as follows: first, the dry indoor air causes irritation. Second, during the night, the mucus secreted by the bronchial mucosa cannot be expelled from the body, which stimulates the bronchial nerves and triggers worsening cough symptoms. Coughing can also cause redness of the face and ears, runny nose, nausea, and vomiting.

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Can whooping cough be vaccinated against?

Pertussis can be prevented with a vaccination and is a type of respiratory infectious disease. The main clinical preventive measure is vaccination, specifically with the DTP vaccine, which is a national Category I vaccine and part of basic immunization. The first dose should be administered when the baby is three months old. The DTP vaccine prevents not only pertussis but also diphtheria and tetanus infections. The complete course consists of three injections, with the second and third doses administered in the fourth month and between the fourth and fifth months, respectively.

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Is whooping cough contagious?

Pertussis, a type of disease, is an infectious respiratory infection, thus it is contagious. If there is a pertussis patient in the home, it is recommended to isolate the patient for treatment, ensure air ventilation and disinfection in the living space, and use personal items separately. Patients should ideally wear masks to block the bacteria from spreading through respiratory passages, and should actively choose antimicrobial drugs to control the infection, drink plenty of water, and rest sufficiently. When feverish, adopt physical methods to reduce fever or take antipyretic medication for symptomatic treatment. The main principle should be to choose macrolide antibiotics to control the infection. (Please use medication under the guidance of a professional physician and do not self-medicate.)

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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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Pertussis transmission routes

Pertussis, commonly known as whooping cough, is a contagious respiratory disease often seen in children. It is typically caused by infection with the Bordetella pertussis or Corynebacterium diphtheriae bacteria, and is mainly transmitted through airborne droplets and close contact with infected individuals. It has a strong contagion potential, with contagiousness becoming significant about two to three weeks from the incubation period to the onset of symptoms. Once diagnosed, it is crucial to isolate the patient promptly and administer medications to alleviate discomfort. Diagnosis is usually confirmed through the cultivation of the pathogen. Treatment includes medications to thin the mucus, isolation of the infectious source, and the use of macrolide antibiotics like erythromycin or azithromycin to manage inflammation during the acute phase.