Does this coughing adolescent or adult patient have pertussis?

@article{Cornia2010DoesTC,
  title={Does this coughing adolescent or adult patient have pertussis?},
  author={Paul B Cornia and A. Hersh and Benjamin A Lipsky and T. Newman and R. Gonzales},
  journal={JAMA},
  year={2010},
  volume={304 8},
  pages={
          890-6
        }
}
CONTEXT Pertussis is often overlooked as a cause of chronic cough, especially in adolescents and adults. Several symptoms are classically thought to be suggestive of pertussis, but the diagnostic value of each of them is uncertain. OBJECTIVE To systematically review the evidence regarding the diagnostic value of 3 classically described symptoms of pertussis: paroxysmal cough, posttussive emesis, and inspiratory whoop. DATA SOURCES, STUDY SELECTION, AND DATA EXTRACTION We searched MEDLINE… Expand
Diagnostic value of symptoms and laboratory data for pertussis in adolescent and adult patients
TLDR
It was clinically difficult to differentiate adolescent and adult patients with or without pertussis, and the most useful definition was posttussive vomiting and/or gagging, and a plus normal FeNO value, which had a sensitivity of 72% and a specificity of 70%. Expand
Clinical Characteristics of Pertussis‐Associated Cough in Adults and Children: A Diagnostic Systematic Review and Meta‐Analysis
TLDR
In adult patients, the presence of whooping or posttussive vomiting should rule in a possible diagnosis of pertussis, whereas the lack of a paroxysmal cough or the presenceof fever should rule it out. Expand
Diagnosis of pertussis.
TLDR
I was surprised by the data cited by Cornia et al showing the pretest probability for pertussis for a patient who has been coughing for 1 week or longer to be 12% to 32%, markedly higher than that found in the more recent trial of the acellular pertussi vaccine. Expand
The diagnosis and treatment of acute cough in adults.
TLDR
A specifically intended effect of these recommendations is to reduce the use of antibiotics to treat colds and acute bronchitis, for which they are not indicated. Expand
Epidemiology of pertussis in adolescents and adults in Turkey
TLDR
It is concluded that B. pertussis should be considered among differential diagnoses of prolonged cough in adolescents and adults and PCR and culture should be used to detect these cases and facilitate public health response. Expand
Clinical Diagnosis of Bordetella Pertussis Infection: A Systematic Review
TLDR
The clinician's overall impression was the most accurate way to determine the likelihood of BP infection when a patient initially presented, and the overall clinical impression was a most accurate predictor of BP. Expand
Recurrent Cough Syncope Due to Pertussis in an Adult: A Case Report and Review of the Literature
TLDR
A 52-year-old male who presented to the emergency department with cough and recurrent episodes of cough syncope of 3 months duration due to pertussis which was completely resolved by treatment with azithromycin is described. Expand
Pertussis and persistent cough: practical, clinical and epidemiologic issues.
  • K. Frumkin
  • Medicine
  • The Journal of emergency medicine
  • 2013
TLDR
Practical recommendations consistent with the most current guidelines are offered and post-exposure prophylaxis is recommended for at-risk contacts. Expand
Diagnosis and Laryngeal Complications of Bordatella pertussis Infection in the Ambulatory Adult Population
  • T. Leschke, J. Blumin, J. Bock
  • Medicine
  • Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2014
TLDR
This commentary describes 3 adult cases of B pertussis confirmed with serum testing in the ambulatory population and describes varied presentations based on time from initial infection. Expand
Serum Immunoglobulin G Analysis to Establish a Delayed Diagnosis of Chronic Cough due to Bordetella pertussis
TLDR
Pertussis should be considered in the differential diagnosis of all patients with chronic cough, and one-time B pertussis serum IgG testing and patient history can establish a likely diagnosis of recent pertussi infection late in disease presentation when PCR testing is often negative. Expand
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