Poddighe Dimitri, Nedbal Marco Giuseppe, Mastricci Nunzia, Bruni Paola
Department of Pediatrics, ASST Melegnano e Martesana, Vizzolo Predabissi, Italy.
Department of Pediatrics, Univesità degli Studi di Pavia, Pavia, Italy.
BMJ Case Rep. 2017 Oct 9;2017:bcr-2017-221562. doi: 10.1136/bcr-2017-221562.
Pertussis is an acute respiratory illness caused by , showing a re-emergence in developed countries. However, it is probably under-recognised and, as a consequence, its burden is underestimated. Here, we report the clinical case of an infant diagnosed with pertussis, despite a regular schedule of vaccination, thanks to a careful clinical evaluation, including personal and family history. In addition to pointing the attention on a precocious diagnosis of atypical cases of pertussis, this case report further raised the issue of modifying and/or implementing the immunisation strategy, considering the ongoing changes of social (eg, immigration) and sanitary (eg, vaccine coverage) background in Italy and all over the Europe.
百日咳是一种由[病原体未给出]引起的急性呼吸道疾病，在发达国家有再度流行的趋势。然而，它可能未得到充分认识，因此其负担被低估。在此，我们报告一例尽管按常规程序接种了疫苗，但仍被诊断为百日咳的婴儿临床病例，这得益于包括个人史和家族史在内的仔细临床评估。除了提醒注意百日咳非典型病例的早熟诊断外，本病例报告还进一步提出了修改和/或实施免疫策略的问题，考虑到意大利及整个欧洲社会（如移民）和卫生（如疫苗接种覆盖率）背景的持续变化。
