Trollfors B, Rabo E
Br Med J (Clin Res Ed). 1981 Sep 12;283(6293):696-7. doi: 10.1136/bmj.283.6293.696.
During the 1970s whooping cough returned in Sweden after an absence of more than 10 years and is now seen in all age groups, During a three-year period 174 adults with culture-verified whooping cough were identified in Gothenburg. Most of the patients had typical symptoms with whooping attacks and often vomiting. The disease was long lasting but complications were rare. Physicians should be aware that whooping cough may occur in adults, since adults may be an important source of infection for infants and erythromycin given in the catarrhal phase may modify the clinical course.
20世纪70年代,百日咳在瑞典消失10多年后再度出现,如今各年龄组都有病例。在三年时间里,哥德堡确认了174例经培养证实的成人百日咳病例。大多数患者有典型症状,表现为阵咳发作,常伴有呕吐。病程持续时间长,但并发症罕见。医生应意识到成人也可能患百日咳,因为成人可能是婴儿的重要传染源,在卡他期使用红霉素可能会改变临床病程。