) produced by Hemophilus
It affects small
, causing characteristic
paroxística cough ("ferina cough")
With the suitable hospitable treatment, mortality is inferior to 5 %, being greater at the most young is the boy.
After this treatment, the permanent complications are minimum.
Most important during the
they are the
anoxia (lack of oxygen for the brain) secondary
In the mid term permanent widenings of the
(bronquiectasias) or permanent
damage can take place.
Diagnosis and treatment.
The clinical diagnosis can be difficult in the catarrhal phase,
it must be suspected before any boy with susceptible persistent cough (that is not vaccinated)
Analyses of blood and x - rays can be required, to discard other
The treatment is antibiotic, being able to require the hospitable entrance for its endovenosa administration.
Also the associated
will have to treat, like
and lack of oxigenación.
None in special for the patient.
isolation is important to restrain its transmission to other
. This it includes the use of masks for the people who enter the room, and to prevent the access to
will pautará necessary antibiotics.
Also it can prescribe mucolíticos, analgesic and antithermal, according to the circumstances.
the patients usually require rest in bed during the acute phases (catarrhal and paroxística) later can reinitiate their habitual activities slowly.
It agrees to contribute liquids to favor the expectoración.
Call yes to the
The boy does not respond to the treatment, convulsiona, he is become sleepy or he is put blue around the mouth or by the
Factors of risk.
with an infected person (it is
time, hacinamiento, etc. that facilitate this
Although they have risen critical, the vaccination generalized in the minors of 6 years
reduced very remarkably its incidence and, case of taking place the
(what he is posile) its gravity (before restoring the vaccination in the EE. UU.
. the ferina cough caused so many deaths as ALL the other together contagious
The patients with
diagnosis of suspicion of ferina cough must be isolated (
isolation) and their susceptible near contacts must be vaccinated and to receive
complete antibiotic treatment.
Signs and symptoms.
of incubation of between one week to ten days, the "catarrhal Phase" begins, with:
Rinorrea (abundant nasal mucosity)
Anorexy (lack of appetite) and.
After one to two weeks one enters the "paroxística phase", in which the cough predominates:
, to variable intérvalos, of paroxística cough, followed of
very noisy sibilante inspiration.
It prevents the food ingestion.
It lasts of two to three weeks.
It is accompanied by vomits caused by the swallowed snot.
Finally, during the recovery, that lasts between one and six weeks, it is attenuated the cough, although the
can continue, often precipitated by the tobacco or the contamination.
In the greater adults and
the symptoms are slighter,
usually they are more lasting.
, negative bacillus gram of the Hemophilus sort, that includes manifold pathogenic like the
. Influenzae, that produces
and epiglotitis in smaller
of 4 years.