Doxycycline and adult whooping cough

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Dear Dr. Roach: I have an adult son with serious medical issues. Because of a persistent cough, he saw his internist four times, as well as a pulmonologist.

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Pertussis or whooping cough is typically characterised by paroxysms of coughing with a whooping sound during inhalation. It is thought to be under-diagnosed generally. Whooping cough is caused by Bordetella pertussis and is highly contagious.

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You see two patients appear on your tracking board, a year-old female and 4-year-old male. The mother and son are placed in the same room by your triage nurse, both with normal vital signs. The mom states she has been experiencing a cough for three weeks that is severe in nature, worsened by yawning, laughing, or exercise.

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Pertussis is a highly communicable disease occurring mostly in children and adolescents and caused by the gram-negative bacteria Bordetella pertussis. Symptoms are initially those of nonspecific URI followed by paroxysmal or spasmodic coughing that usually ends in a prolonged, high-pitched, crowing inspiration the whoop. Diagnosis is by nasopharyngeal culture, PCR, and serologic assays.

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Pertussis, often called whooping cough, is caused by a bacterial infection. While infants have the greatest chance of getting whooping cough, the illness can be contracted at any age. In general, whooping cough starts off like a common cold.

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Prescribing information updated with information regarding azithromycin interacting with colchicine. The topic has undergone minor restructuring. No major changes to the recommendations have been made.

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Helen G. A short-term course of erythromycin, azithromycin, or clarithromycin is as effective as a long-term 2-week erythromycin therapy in eradicating Bordetella pertussis from the nasopharynx strength of recommendation [SOR]: A; based on one meta-analysis of randomized controlled trials [RCTs]. Evidence is insufficient to determine the benefit of antibiotic prophylaxis for pertussis contacts. However, due to high mortality and morbidity, prophylaxis is recommended for families who have an infant less than 6 months old SOR: C; based on expert opinion.

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Pertussis is a highly contagious acute respiratory disease caused by the bacteria Bordetella pertussis. This disease has 3 stages: catarrhal, paroxysmal, and convalescent. The symptoms of the catarrhal stage are mild and may go unnoticed.

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Every year tens of thousands of children and adults catch whooping cough - a vaccine-preventable infection of the airways and lungs. Known as pertussis in the medical world, it gets its common name from a characteristic cough followed by a deep intake of breath that makes the ''whoop'' sound. Vaccination for children is well known, but booster doses are strongly recommended for others, including parents and grandparents. If left untreated, whooping cough can be a serious infection that progresses from the throat and windpipe into a lung infection pertussis pneumonia.

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