Advertisement

Pertussis in an Elderly Asian-American Man: A Case Report

  • Author Footnotes
    1 Current affiliation: Department of Emergency Medicine, Albert Einstein Medical Center, Philadelphia, PA.
    Jordan Spector
    Correspondence
    Reprint Address: Jordan Spector, md, Department of Emergency Medicine, Albert Einstein Medical Center, Kormann Building B-6, 5501 Old York Road, Philadelphia, PA 19141
    Footnotes
    1 Current affiliation: Department of Emergency Medicine, Albert Einstein Medical Center, Philadelphia, PA.
    Affiliations
    Department of Emergency Medicine, Boston Medical Center, Boston, Massachusetts
    Search for articles by this author
  • Niels K. Rathlev
    Affiliations
    Department of Emergency Medicine, Boston Medical Center, Boston, Massachusetts
    Search for articles by this author
  • Author Footnotes
    1 Current affiliation: Department of Emergency Medicine, Albert Einstein Medical Center, Philadelphia, PA.

      Abstract

      Cough is a frequent presenting complaint in the Emergency Department. The differential diagnosis for cough is variable depending on patient age and symptom duration. We report the case of an elderly gentleman with a history of asthma who presented with cough, with the ultimate diagnosis of Bordetella pertussis infection. The management of the patient in the Emergency Department placed hospital staff at risk for infection from a virulent pathogen. Details regarding typical and atypical presentations of pertussis and the establishment of transmission-based precautions are discussed.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Irwin R.S.
        • Madison J.M.
        The diagnosis and treatment of cough.
        N Engl J Med. 2000; 343: 1715-1721
        • Tan T.
        • Trindade E.
        • Skowronski D.
        Epidemiology of pertussis.
        Pediatr Infect Dis J. 2005; 24: S10-S18
        • Karras D.J.
        Update on emerging infections: news from the Centers for Disease Control and Prevention.
        Ann Emerg Med. 2002; 40: 115-119
      1. Pertussis.
        Department of Health and Human Services Centers for Disease Control and Ifection, 2003 (Accessed August 1, 2006)
        • American Academy of Pediatrics
        Pertussis.
        in: Pickering L.K. 2000 Red book: report of the Committee on Infectious Diseases. 25th edn. American Academy of Pediatrics, Elk Grove Village, IL2000: 435-448
        • Guinto-Ocampo H.
        • McNeil B.H.
        Pertussis.
        (Accessed January 6, 2007)
        • Tozzi A.E.
        • Celetano L.P.
        • Ciofi degli Atti M.L.
        • Salmaso S.
        Diagnosis and management of pertussis.
        CMAJ. 2005; 172: 509-515
        • De Serres G.
        • Shadmani R.
        • Duval B.
        • et al.
        Morbidity of pertussis in adolescents and adults.
        J Infect Dis. 2000; 182: 174-179
        • Yaari E.
        • Yafe-Zimerman Y.
        • Schwartz S.B.
        • et al.
        Clinical manifestations of Bordetella pertussis infection in immunized children and young adults.
        Chest. 1999; 115: 1254-1258
        • Rothstein E.
        • Edwards E.
        Health burden of pertussis in adolescents and adults.
        Pediatr Infect Dis J. 2005; 24: S44-S47
        • Hewlett E.L.
        • Edwards K.M.
        Clinical practice.
        N Engl J Med. 2005; 352: 1215-1222
        • Bisgard K.
        • Pascual F.B.
        • Tiwari T.
        • Murphy T.V.
        Pertussis.
        in: VPD surveillance manual. 3rd edn. 2002 (Accessed January 6, 2007)
        • Addiss D.G.
        • Davis J.P.
        • Meade B.D.
        • et al.
        A pertussis outbreak in a Wisconsin nursing home.
        J Infect Dis. 1991; 164: 704-710
        • Hodder S.L.
        • Cherry J.D.
        • Mortimer E.A.
        • Ford A.B.
        • Gornbein J.
        • Papp K.
        Antibody responses to Bordetella pertussis antigens and clinical correlations in elderly community residents.
        Clin Infect Dis. 2000; 31: 7-14
        • Mertens P.L.
        • Stals F.S.
        • Schellekens J.F.
        • Houben A.W.
        • Huisman J.
        An epidemic of pertussis among elderly people in a religious institution in The Netherlands.
        Eur J Clin Microbiol Infect Dis. 1999; 18: 242-247
        • Centers for Disease Control and Prevention (CDC)
        Fatal case of unsuspected pertussis diagnosed from a blood culture—Minnesota, 2003.
        MMWR Morb Mortal Wkly Rep. 2004; 53: 131-132
        • Wenzel R.P.
        • Fowler A.A.
        Acute bronchitis.
        N Engl J Med. 2006; 355: 2125-2130
      2. Infection control in healthcare settings.
        Department of Health and Human Services Centers for Disease Control and Infection, 2006 (Accessed August 1, 2006)
        • Halperin S.A.
        Pertussis—a disease and vaccine for all ages.
        N Engl J Med. 2005; 353: 1615-1617
        • Hampton T.
        New guidelines released for managing cough.
        JAMA. 2006; 295: 746-747
        • Kretsinger K.
        • Broder K.R.
        • Cortese M.M.
        • et al.
        Preventing tetanus, diptheria, and pertussis among adults: use of tetanus toxoid, reduced diptheria toxoid and acellular pertussis vaccine.
        MMWR Recomm Rep. 2006; 55 (Accessed January 6, 2007): 1-37