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WHOOPING COUGH – BACTERIAL ILLNESS
This is a bacterial illness and is now rare, but the germ is still active in the community and small outbreaks occur from time to time, especially in the unimmunised.
The incubation period is around two weeks and it is common in the spring and autumn. The infection starts as a heavy cold with a marked cough, and this runs its course over a week or so by which times the temperature usually subsides. The characteristic cough associated with a whoop then develops. A paroxysm of coughing occurs and the lungs are almost emptied by short, sharp coughing.
The tongue may protrude and the child may go blue. Then the spasm in the larynx, or voice box, relaxes and the air is drawn into the lungs with a crowing sound which produces the typical “whoop”. Vomiting frequently follows this paroxysm.
The correct diagnosis is often not made until the whooping stage is reached.
In most children who have been immunised, a modified form of the disease may produce a persistent cough, even if not a severe illness.
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