Cough and fear of sleep: early clinical signs of Bordetella pertussis in an adult
Autor: | Markus Gasser, Thomas C. Jones, Hanspeter Oechslin, Peter Erb |
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Rok vydání: | 2004 |
Předmět: |
Male
Microbiology (medical) Bordetella pertussis Pediatrics medicine.medical_specialty media_common.quotation_subject PCR technology lcsh:QR1-502 Signs and symptoms Polymerase Chain Reaction Fear of falling lcsh:Microbiology lcsh:Infectious and parasitic diseases Pertussis cough Clarithromycin medicine Humans whooping cough lcsh:RC109-216 Medical history Whooping cough media_common Slow-wave sleep biology business.industry Sputum Fear Middle Aged biology.organism_classification medicine.disease Sleep in non-human animals Anti-Bacterial Agents Infectious Diseases Feeling Anesthesia medicine.symptom Sleep business |
Zdroj: | Brazilian Journal of Infectious Diseases, Vol 8, Iss 4, Pp 324-327 |
ISSN: | 1413-8670 |
Popis: | Pertussis is increasing in frequency among adults, but early diagnosis requires special attention to details in the medical history. We describe a 64 year-old male with classic signs and symptoms of pertussis and documented Bordetella pertussis infection that were overlooked because he presented with a chief complaint of cough and fear of falling asleep. Coughing paroxysms and a feeling of suffocation (30-60 seconds) only occurred at night after short periods of deep sleep (30-45 minutes). The physicians did not observe these episodes during daytime examinations, and the basis of the patient's fear of sleep was not explored. We recommend reassessment of how adults describe symptoms of pertussis, including fear of sleep, and we suggest the use of PCR technology to allow early diagnosis and prompt treatment. |
Databáze: | OpenAIRE |
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