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[Pertussis in clinical practice--critical evaluation of diagnosis and epidemiology].
Schweiz Med Wochenschr. 1992 Oct 10; 122(41):1530-5.SM

Abstract

In the Swiss Sentinel System pertussis is reported according to a clinical case definition. In our Sentinel practice, we have investigated in detail nine patients fulfilling these criteria. Seven of the nine patients have previously been vaccinated with whole cell vaccine. The clinical diagnosis could be confirmed in three cases by the detection of elevated serum IgA to filamentous hemagglutinin (FHA), and in one infant based on the peripheral blood lymphocytosis and the detection of pertussis in other family members. The likely diagnosis in another brother and sister pair was a parainfluenza virus infection, possibly with concomitant pertussis. Two sisters probably had a mycoplasmal infection, which in one was accompanied by pertussis. In two patients an infectious etiology could not be determined. The laboratory tests which have been used in these cases are discussed. The occurrence of pertussis in previously vaccinated adolescents and adults has been recognized worldwide and is of epidemiological concern in view of current vaccination policies. The Swiss Sentinel System could play an important role in the surveillance of pertussis in Switzerland.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

ger

PubMed ID

1411412

Citation

Bollag, U, and L Matter. "[Pertussis in Clinical Practice--critical Evaluation of Diagnosis and Epidemiology]." Schweizerische Medizinische Wochenschrift, vol. 122, no. 41, 1992, pp. 1530-5.
Bollag U, Matter L. [Pertussis in clinical practice--critical evaluation of diagnosis and epidemiology]. Schweiz Med Wochenschr. 1992;122(41):1530-5.
Bollag, U., & Matter, L. (1992). [Pertussis in clinical practice--critical evaluation of diagnosis and epidemiology]. Schweizerische Medizinische Wochenschrift, 122(41), 1530-5.
Bollag U, Matter L. [Pertussis in Clinical Practice--critical Evaluation of Diagnosis and Epidemiology]. Schweiz Med Wochenschr. 1992 Oct 10;122(41):1530-5. PubMed PMID: 1411412.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Pertussis in clinical practice--critical evaluation of diagnosis and epidemiology]. AU - Bollag,U, AU - Matter,L, PY - 1992/10/10/pubmed PY - 1992/10/10/medline PY - 1992/10/10/entrez SP - 1530 EP - 5 JF - Schweizerische medizinische Wochenschrift JO - Schweiz Med Wochenschr VL - 122 IS - 41 N2 - In the Swiss Sentinel System pertussis is reported according to a clinical case definition. In our Sentinel practice, we have investigated in detail nine patients fulfilling these criteria. Seven of the nine patients have previously been vaccinated with whole cell vaccine. The clinical diagnosis could be confirmed in three cases by the detection of elevated serum IgA to filamentous hemagglutinin (FHA), and in one infant based on the peripheral blood lymphocytosis and the detection of pertussis in other family members. The likely diagnosis in another brother and sister pair was a parainfluenza virus infection, possibly with concomitant pertussis. Two sisters probably had a mycoplasmal infection, which in one was accompanied by pertussis. In two patients an infectious etiology could not be determined. The laboratory tests which have been used in these cases are discussed. The occurrence of pertussis in previously vaccinated adolescents and adults has been recognized worldwide and is of epidemiological concern in view of current vaccination policies. The Swiss Sentinel System could play an important role in the surveillance of pertussis in Switzerland. SN - 0036-7672 UR - https://www.unboundmedicine.com/medline/citation/1411412/[Pertussis_in_clinical_practice__critical_evaluation_of_diagnosis_and_epidemiology]_ L2 - https://medlineplus.gov/whoopingcough.html DB - PRIME DP - Unbound Medicine ER -