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Pertussis in adults.

T Aoyama1, Y Takeuchi, A Goto

  • 1Department of Pediatrics, Kawasaki Municipal Hospital, Japan.

American Journal of Diseases of Children (1960)
|February 1, 1992
PubMed
Summary
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Adults often transmit pertussis (whooping cough), with less severe symptoms and distinct laboratory findings. Recognizing adult pertussis is crucial for controlling its spread and public health.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Epidemiology

Background:

  • Pertussis (whooping cough) is highly contagious, primarily affecting children.
  • Adult pertussis is often underdiagnosed due to atypical presentations.

Purpose of the Study:

  • To investigate the role of adults as a source of pertussis infection.
  • To characterize the clinical and immunological features of pertussis in adults.
  • To determine the subclinical infection rate in adults.

Main Methods:

  • Household contact survey of culture-confirmed pertussis cases.
  • Laboratory analysis of adult patients for subclinical pertussis.
  • Comparison of clinical and immunological markers between adult and pediatric pertussis.

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Main Results:

  • Adults were the source of infection in 11.2% of households studied.
  • The secondary attack rate of pertussis from adult cases was 10.3%.
  • A 25% subclinical pertussis infection rate was observed in adults.
  • Adult pertussis presented with milder symptoms, lacking leukocytosis/lymphocytosis, but showed faster and higher antibody responses (anti-pertussis toxin, anti-filamentous hemagglutinin, agglutinin).

Conclusions:

  • Adult pertussis is frequently unrecognized due to distinct clinical and laboratory features.
  • Adults play a significant role in pertussis transmission.
  • Effective disease control strategies must consider adult pertussis.