What are the symptoms of whooping cough in infants?
Pertussis (whooping cough) in infants typically presents with symptoms such as paroxysmal coughing, runny nose and sneezing, low-grade fever, vomiting, cyanosis, and rapid breathing. If any abnormalities occur, prompt medical attention is recommended. A detailed analysis is as follows:
1. Paroxysmal coughing: The hallmark symptom of pertussis is paroxysmal, spasmodic coughing. This type of cough occurs in repeated, intense bouts that last for a prolonged duration. The infant's face may turn red or even blue during severe coughing episodes. A characteristic high-pitched "whoop" sound during inhalation may accompany the cough.
2. Runny nose and sneezing: In the early stages of pertussis, infants may experience runny nose and sneezing, similar to common cold symptoms. However, these symptoms tend to persist longer than a typical cold. Initially, nasal discharge may be clear and watery but can become purulent over time.
3. Low-grade fever: Some infants may develop a mild fever during pertussis, with body temperature generally ranging between 37.5°C and 38°C. However, not all infants will have a fever, and high fever is uncommon.
4. Vomiting: Increased abdominal pressure during coughing fits may lead to vomiting, especially after feeding or during coughing episodes. After vomiting, the infant's mouth should be cleaned promptly to prevent aspiration or choking.
5. Cyanosis and rapid breathing: Infants under 3 months of age may present with continuous coughing followed immediately by cyanosis (bluish discoloration of the skin) and rapid breathing. In severe cases, symptoms such as chest retractions (triple concavity sign) and asphyxia may occur.
Pertussis is a highly contagious acute respiratory infection. Infants diagnosed with pertussis should remain at home in isolation and avoid contact with other children to prevent cross-infection. Treatment is typically carried out under medical guidance using medications such as pediatric cough syrup, ceftriaxone sodium, and pertussis tablets.