Symptoms
It can start off like an ordinary cold
(catarrhal phase) for 7 to 14 days, but tends to worsen with periods of
uncontrolled coughing. These areas sociated with a "whooping" noise during
breathing in between bursts of coughing and often carry on until the child
actually vomits. These episodes frequently cause the child to go blue and
can be very worrying for the on looker. Between the periods or spasms of
coughing the child seems fine. Often exercise or laughing brings on a spasm
of coughing.
Attacks of whooping cough may last for six weeks
or more and the reason that people worry is that there is a mortality rate,
but this is low and happens mainly in children under 6 months. Sometimes
whooping cough may be complicated by brain damage or fits or pneumonia.
When adults get whooping cough the diagnosis may not be quite so clear
cut and it may just seem like a prolonged, irritating, cough.
If you think your child might have whooping
cough you should consult your doctor.
Causes
Whooping cough really refers to infections caused
by the bacterium Bordetella pertussis, but an identical illness is produced
by Bordetella parapertussis, Bordetella bronchiseptica and several types
of adenovirus.
Bordetella pertussis has an incubation period
of 12 to 15 days but this may be as long as 20 days. It is spread by droplets
from the respiratory tract, rarely it may also spread on clothes, toys,
etc.. The disease is most contagious during the cold-like initial phase
(catarrhal phase).
Treatment
There is an antibiotic which is quite effective
for whooping cough, but this is seldom used except in severe cases as the
antibiotic has provedto be quite toxic in itself. There is one other antibiotic
which seems to have some marginal effect, but essentially if your child
gets whoopingcough you are in for a worrying few weeks and all you can
do is be supportive and try symptom relief such as paracetamol and steam
inhalations.
Complications can involve secondary infections
eg pneumonia and collapse of the lung, and also effects on the nervous
system eg encephalitisor fits (convulsions).
The B. is for Bordetella