Whooping cough due to Bordetella parapertussis: an unresolved problem

Mineo Watanabe1, Masaaki Nagai

  • 1University of Cincinnati, Department of Molecular Genetics, Biochemistry and Microbiology, 231 Albert Sabin way, Cincinnati, OH 45267-0524, USA. mineo.watanabe@uc.edu

Insights

Bordetella parapertussis causes milder whooping cough but is often missed. Increased attention is needed as pertussis vaccines show limited efficacy against this bacterium.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Vaccinology

Background:

  • Bordetella parapertussis is a bacterial cause of whooping cough, often presenting with milder symptoms than Bordetella pertussis.
  • Limited attention has been given to B. parapertussis due to historically low detection rates and perceived milder illness.
  • Pertussis vaccines, primarily targeting B. pertussis, demonstrate potentially limited efficacy against B. parapertussis infections.

Purpose of the Study:

  • To review and summarize current research on Bordetella parapertussis.
  • To highlight the increasing evidence of B. parapertussis's role in whooping cough.
  • To advocate for greater clinical and research focus on B. parapertussis.

Main Methods:

  • Comprehensive literature review of studies related to Bordetella parapertussis.
  • Analysis of recent field studies reporting detection rates of B. parapertussis.
  • Synthesis of information regarding vaccine efficacy and clinical significance.

Main Results:

  • Recent studies indicate a higher-than-expected prevalence of B. parapertussis in patients diagnosed with whooping cough.
  • The bacterium's contribution to the overall burden of whooping cough may be underestimated.
  • Evidence suggests existing pertussis vaccines may not provide adequate protection against B. parapertussis.

Conclusions:

  • Bordetella parapertussis is an important pathogen in whooping cough that warrants increased attention.
  • Current diagnostic and surveillance strategies may need re-evaluation to improve B. parapertussis detection.
  • Further research into B. parapertussis pathogenesis, diagnostics, and vaccine strategies is crucial.

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