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학습 자료 둘러보기 →The hallmark of pertussis in a school-aged child is paroxysmal coughing followed by an inspiratory whoop. This occurs as the child forcefully inhales against a narrowed glottis after a coughing fit to expel thick mucus.
Fever is typically absent or low-grade. A high fever with rigors should prompt evaluation for other infections like pneumococcal pneumonia. The cough is usually dry and non-productive, not purulent.
Infants under 6 months may not present with the classic whoop; apnea and cyanosis are more common and life-threatening signs. Immediate respiratory support and monitoring are critical.
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