Department of Otolaryngology, University of Liege, Liege, Belgium.
Laryngoscope. 2009 Sep;119(9):1720-2. doi: 10.1002/lary.20566.
Whooping cough is resurgent in the developed world. Systematic vaccination has changed its epidemiology, with the majority of cases now primarily affecting adolescents and adults. A 46-year-old male physiotherapist presented with a 1-week history of bothersome cough and respiratory difficulties, and a 51-year-old man was admitted to the emergency department with a 4-week history of increasing cough and dyspnea. Polymerase chain reaction of nasopharyngeal swab were positive for Bordetella pertussis. These cases illustrate pertussis in adulthood. We review the clinical features, the prevalence, the diagnostic tools, and the management of the patients and their relatives to increase awareness of this highly contagious disease.
百日咳在发达国家死灰复燃。系统接种疫苗改变了其流行病学特征,现在大多数病例主要影响青少年和成年人。一名 46 岁男性物理治疗师因持续 1 周的咳嗽和呼吸困难就诊,一名 51 岁男性因持续 4 周的咳嗽和呼吸困难入院。鼻咽拭子聚合酶链反应对百日咳博德特氏菌呈阳性。这些病例说明了成人百日咳。我们回顾了该病的临床特征、流行情况、诊断工具以及患者及其亲属的管理,以提高对这种高度传染性疾病的认识。