Whooping cough, clinically called pertussis. It is a highly contagious infection caused by the bacterium Bordetella pertussis. This cough is characterised by severe bouts of coughing followed by a high-pitched “whoop” as the patient gasps for air. Without proper, timely treatment, whooping cough can cause serious complications. Vaccination is essential for preventing whooping cough.
Types of Whooping Cough or Pertussis
Classic Pertussis: It begins with cold-like symptoms, such as a runny nose, fever, and cough, and progresses to severe coughing. The cough lasts for more than 10 weeks; hence, it is also known as the 100-day cough.
Atypical or Mild Pertussis: This type of cough is common in partially immunised individuals and also presents in older individuals as a prolonged cough, typically without the whoop.
Infant pertussis: A baby younger than 6 months may develop apnea instead of cough; this type can cause serious complications.
Causes and Risk Factors of Pertussis
- The Bordetella pertussis causes it, and sometimes it is caused by B. Parapertussis, Which Is transmitted via respiratory droplets.
- Lack of vaccination increases the risk of pertussis.
- Close contact with an infected individual spreads the infection rapidly.
Symptoms of Pertussis
- Catarhal Stage: In this stage, symptoms include a runny nose, fever, and occasional cough; this stage is highly contagious.
- Paroxysmal Stage: This stage is characterised by rapid coughing episodes, often accompanied by whooping or gasping, and sometimes vomiting is present. A feeling of weakness and exhaustion is also present due to the severe coughing.
- Convalescent Stage: In this stage, symptoms gradually resolve, and they may recur as other respiratory illnesses.
Diagnosis of Pertussis
- Diagnosis of pertussis is based on a detailed medical history, understanding of the cough pattern, and physical examination by a doctor.
- Nasopharyngeal swabs or PCR to confirm the diagnosis at an early stage.
- Blood tests and a chest X-ray are advised based on our symptoms.
Complications of Pertussis
- It can cause sepsis, apnea and pneumonia in infants in a few cases.
- Rib fractures, hernias, and urinary incontinence are addressed.
- It can cause secondary infections, such as pneumonia, ear infections, weight loss, and a prolonged cough.
Treatment of Pertussis
- Oral medications
- Intravenous medications
- Intensive care in severe cases
Prevention and Lifestyle Management of Pertussis.
- Vaccination with Tdap for infants is not recommended; instead, a Tdap booster should be administered every 10 years under the guidance of healthcare professionals.
- Maintain good hand hygine.
- Stay hydrated.
- Take adequate rest.
- Avoid irritants, allergens and humidified air.
Whooping cough requires immediate medical attention and treatment. It starts as a common cold, which a person may neglect due to the mild character of the symptoms. However, proper treatment during this stage can help facilitate a rapid recovery and prevent further complications.