Whooping cough (Pediatrics - PEDS)

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Pertussis is an acute respiratory infection caused by a bacterium called Bordetella pertussis.

This infection is highly contagious (especially in unvaccinated persons). Transmission is from person to person through small droplets of respiratory fluids containing the bacteria that the sick person expels with coughing and move through the air favoring the spread. Pertussis is an illness that usually lasts several weeks.

The symptoms that appear are divided into 3 different stages: a catarrhal period lasting 1-2 weeks, a period of access or coughing fits lasting 2-4 weeks and a final period of convalescence or remission lasting 1-3 weeks.

The diagnosis is made through clinical history, and is confirmed with a laboratory test called PCR of nasopharyngeal mucus aspirate or smear.

Treatment is with oral antibiotics. Vaccination is the main preventive measure for this disease.

Bibliographic references
  1. Kilgore PE, Salim AM, Zervos MJ, Schmitt HJ. Pertussis: Microbiology, Disease, Treatment and Prevention.Clin Microbiol Rev. 2016 Jul;29(3):449-86.
  2. Heininger U. Pertussis:what the pediatric infectious disease specialist should know. Pediatr Infect Dis J.2012 Jan;31:78-9.
  3. Munoz FM.Pertussis in infants, children and adolescents: diagnosis, treatment and prevention. Semin Pediatr Infect Dis. 2006 Jan;17(1):14-9. Review.
  4. Schellekens J, von König CH, Gardner P. Pertussis sources of infections and routes of transmissin in the vaccination era, Pediatr Infect Dis J. 2005 May;24(5 Suppl):S19-24.
  5. American Academy of Pediatrics. Pertussis (whooping cough). In: Red Book: 2015 Report of the Committee on Infectious Diseases, 30th ed, Kimberlin DW, Brady MT, Jackson MA, Long SS (Eds), American Academy of Pediatrics, Elk Grove Village, IL 2015. p.609.
Author
Dr. Maria Trabazo
Copyright
© TeckelMedical 2026

Symptoms

    Cough


    Dry cough


    Fever / Feel very hot


    Red face with coughing fits


    Coughing at night

Symptoms to watch out for

Vomiting
Cough with blood or pus
Difficulty breathing
A feeling of shortness of breath

Self-care

Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Maintain a fluid intake of 6 - 8 cups per day.
Relative rest, rest until symptoms subside.