Christopher Frank L, Hepburn Matthew J, Frolichstein Robert A
Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam, Houston, TX 78234, USA.
Mil Med. 2002 Mar;167(3):215-8.
Three cases of pertussis (whooping cough) identified in a military emergency department are reported. Two of these cases involved infants with typical presentations. One of these infants was too young to have received immunizations, and the other child was only partially immunized. The third case involved an active duty soldier with a chronic cough. Pertussis has become increasingly important as a cause of chronic cough in adults. As a result of the infectivity of this organism, close-quarter situations, such as day care centers and military barracks, create the opportunity for substantial person-to-person transmission. Typical and atypical clinical presentations of pertussis are discussed, with an emphasis on currently available diagnostic modalities. The epidemiology and pathophysiology of this disease are also reviewed. The medical management of active duty soldiers and their dependents (both pediatric and adult) with this largely underappreciated infection and their close contacts is presented.
报告了在一家军事急诊科确诊的3例百日咳病例。其中2例为表现典型的婴儿。其中一名婴儿年龄太小，尚未接种疫苗，另一名儿童仅部分接种了疫苗。第3例涉及一名患有慢性咳嗽的现役军人。百日咳作为成人慢性咳嗽的病因，其重要性日益增加。由于这种病原体具有传染性，在日托中心和军营等人员密集的环境中，会出现大量人际传播的机会。文中讨论了百日咳的典型和非典型临床表现，重点介绍了目前可用的诊断方法。还回顾了该疾病的流行病学和病理生理学。介绍了患有这种在很大程度上未得到充分认识的感染的现役军人及其家属（包括儿童和成人）及其密切接触者的医疗管理情况。
