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Whooping Cough
History
- 90% in under 5s
- incubation 7-10 days
- catarrhal stage (highly infectious)
- malaise
- anorexia
- mucoid rhinorrhea
- conjunctivitis
- paroxysmal stage (1/52 later, for approximately 2 weeks)
- paroxysms of coughing
- characteristic inspiratory 'whoop' in younger patients
- usually terminate in vomiting
- conjunctival suffusions / pethechaie
- ulceration of frenulum of tongue
Complications
- pneumonia
- atelectasis
- rectal prolapse
- inguinal hernia
- cerebral anoxia → convulsions
Investigations
- full blood count
- naso-pharyngeal swab
Treatment
Prevention / Control
- isolation of individuals
- immunisation
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