A highly contagious infection of the bronchial tubes and lungs caused by the bacteria Bordetella pertussis. The initial symptoms resemble the common cold, but the cough increases. The coughing can occur in spasms followed by a high-pitched intake of breath that sounds like "whoop". The incidence of whooping cough has greatly decreased in the world due to immunization. It is most common in children and can be serious in infants less than 6 months. In recent years there have been more cases in adults secondary to declining adult immunity from the original immunizations given as a child.
Description
A highly contagious infection of the bronchial tubes and lungs caused by the bacteria Bordetella pertussis. The initial symptoms resemble the common cold, but the cough increases. The coughing can occur in spasms followed by a high-pitched intake of breath that sounds like "whoop". The incidence of whooping cough has greatly decreased in the world due to immunization. It is most common in children and can be serious in infants less than 6 months. In recent years there have been more cases in adults secondary to declining adult immunity from the original immunizations given as a child.
Symptoms
Severe and repeated cough, a dry cough, runny nose, low grade fever, rapid inhaling that makes a "whoop" sound, choking spells in infants.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. The initial diagnosis is usually based on the symptoms. Nasal swabs can be done to identify the bacteria.
Tests:
X-ray
Other Specific Tests: Nasal swab for pertussis,
Specialists:
Internal Medicine, Pediatrics, Pulmonology, Family Practice, Pediatric Pulmonology
Workup:
A history and physical exam will be performed. The initial diagnosis is usually based on the symptoms. Nasal swabs can be done to identify the bacteria.
Tests:
X-ray
Other Specific Tests: Nasal swab for pertussis,
Specialists:
Internal Medicine, Pediatrics, Pulmonology, Family Practice, Pediatric Pulmonology
Treatment
Antibiotics (erythromycin, azithromycin/Z-Pa) started early in the disease can lessen the symptoms and hasten recovery. Antibiotics also reduce the spread of the disease. Cough suppressants may be prescribed to older patients. Depending on the severity of the infection infants and children may require admission to the hospital.