| Revue: | The brazilian journal of infectious diseases |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000290841 |
| ISSN: | 1413-8670 |
| Autores: | Jones, Thomas C1 Gasser, Markus Erb, Peter Oechslin, Hanspeter |
| Instituciones: | 1Cornell University, Nueva York. Estados Unidos de América |
| Año: | 2004 |
| Periodo: | Ago |
| Volumen: | 8 |
| Número: | 4 |
| Paginación: | 324-327 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Nota breve o noticia |
| Enfoque: | Caso clínico |
| Resumen en inglés | 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 |
| Disciplinas: | Medicina |
| Palabras clave: | Diagnóstico, Parasitología, Bordetella pertussis, Esputo, Inmunología, PCR |
| Keyword: | Medicine, Diagnosis, Bordetella pertussis, Sputum, Immunology, PCR, Parasitology |
| Texte intégral: | Texto completo (Ver HTML) |
