Dammit, my daughter has pertussis.

Call it fatherly intuition or what you will, but I had a hunch that’s what she had. We took her into the doctor after a week, and got seen by a nurse practitioner. I explained the symptoms (which I will get to in a sec) and all the NP saw was an ear infection, so we got a script for Amox and off we went. Two days later, I was still a little nervous. my daughter came down with cold-like symptoms on Wednesday ten days ago (or whatever the number is).Runny nose, cough, sneezing. Most of those symptoms, except for the cough, went away. The cough was usually fairly normal and dry during the day, but she she would have these fits where she spit up. But at night, she developed a cough that included posttussil vomiting, redness of face, and a distinct “whoop” sound. But it wasn’t consistent. Sometimes she would do it; sometimes not. So I took her in, explained the symptoms, and all she was diagnosed with was an ear infection.

A day or two later, I look up a little about whooping cough. I didn’’t know much about it, but the sound she made is exactly the kind of sound I would associate with a cough named “whooping cough.” Then I read up on the symptoms and they lined up exactly. Now, I know doctors hate self-diagnosis, so I took that into account, but it was nagging at me that the symptoms fit exactly: starts out with cold symptom, child acts fine and happy in between fits, and fits may be few and far in between (she was showing maybe 2-3 episodes per day, mostly during the night when she was sleeping on her back.) But yesterday afternoon, I got so stressed out that I actually called to speak to the nurse practitioner, and she (I assume to placate me and ease my mind) told me to go into the ER and get a pertussis swab and chest x-ray.

We were seen by some nurses and a doctor who made it seem like they were surprised that our doctor (who they knew) sent us to the ER. I explained that it was the nurse practitioner and that she was probably doing it because I was strongly showing fear that it may be whooping cough. (I’m not entirely sure if I had said “is it possible that this is whooping cough,” but I definitely showed what I was worried about by describing the cough as a whoop.) The doctor asked us if she and we were vaccinated. We said we were. He said he had looked up on the internet the stats, and that the vaccine is something like 85% effective at this age, that he’s only seen one case of whooping cough before, it’s not whooping cough, he’s releasing us, and the lab results won’t be back until Monday or Tuesday anyway. So we go home, assuming this was all a waste of time and money.

Today we get a call. Whooping cough.

Not something I want to be right about, but there you go. Fatherly intuition I guess. It’s very unlike me to get worried, but something really wasn’t sitting right with me with the initial diagnoses. We got a script for anthramycin, a quarantine, and orders to talk to our primary care doctor about getting a script for ourselves. The doc didn’t seem too worried about it, though. But, still, I’m glad I followed up enough to goi to the ER. I was really second-guessing myself before I took her in, and even moreso after speaking to the staff.

If it helps anyone, this is what a spell looks like.

Good for you for pushing and following up. I hope your daughter recovers smoothly.

Gotta love anti-vaxxers.

Good for you for following up on your concerns. Parenting is so hard - 99 times out of a hundred it makes sense to let it go a bit and see what happens. You were doing that, but clearly this was something that needed more. Good for you.

Gotta ask, you anti vaccination ?

From the OP:

I hope your daughter recovers quickly, and I’m glad you kept on top of this. How old is your daughter?

Good for you! This makes me very glad I re-upped my TDAP this week.

How old is she? Poor dear. Good for you for being persistent.

Oh, poor little thing!

I don’t know about pertussis for sure, but for many vaccine preventable illness, the vaccine will help to give a milder illness, even if it doesn’t protect completely against getting the disease. So it’s probable that vaccinating did help, and that’s why her coughing spells are infrequent. If that makes you feel any better.

Good for you for being persistent and advocating for your daughter. The one and only downside to vaccination being so widespread and the reduction in vaccine preventable illnesses is that we now have a lot of doctors and nurses who have never seen those illnesses before, and aren’t as good at recognizing them as a doctor 60 years ago would have been. My friend had a baby with bumps once…diagnosed by the doctor as “probably some viral rash” (well, close) and diagnosed correctly by the 70 year old receptionist as chicken pox!

Ddamn, sounds like her pertussis is past the time for 'Tussin.

I hope y’all open up a can of whoopass on her whooping cough and she gets better right quick.

Nope. Strongly pro-vaccination. Our daughter is on the standard CDC vaccination schedule. It is my understanding that the whooping cough vaccine only reaches full effectiveness at around five years old or something like that.

About sixteen months old.

Wow. It surprises me somebody wouldn’t have seen chicken pox! I guess I am 40, but I didn’t realize chicken pox was getting so rare these days. I think just about everyone had it growing up.

But, anyhow, I’m kind of going on the assumption that the vaccine has at least helped in reducing the severity of the disease.

Yeah, this really is one of the rare, rare times I’ve been the one suggesting to see a doctor, and the only time I’ve ever (whether dealing with my health or anyone else’s) pushed so soon for a second opinion or a closer look. I’m glad I did, because I really felt after our ER trip Friday night that it was a waste of time and money, and that I was being hypochondriacal or turned into one of those Internet self-diagnosis people. I just want to go back to that doctor who assured us there was almost no chance it was pertussis and tell him that we should have bet on it. I bet he would’ve given me good odds, too. :slight_smile:

My sister got it at 18 mos old in the ER waiting room from a sick child. It was awful, from what I’ve been told.

That’s very scary! Pertussis damaged my grandfather’s heart as an infant in the 40’s, leading to a life full of heart surgeries (he had a total of six surgeries on his heart, 3 of them being in the last few years of his life). The most vivid memory I have of him is the tick-tock, tick-tock of his pacemaker whenever the room got quiet. But if the TV was on or you were having a discussion in the room, you couldn’t hear it. He died at 50 from complications during his last heart surgery.

As bad as pertussis can be now, I’m thankful that even if it might not get diagnosed correctly the first time, it is a lot less likely to cause the kind of damage it did a few decades ago.

Best wishes for a speedy and stress free recovery.

I suffered through nearly a year of paroxysmal coughing spells that started in May of 2014.

After the first couple weeks when no one around me had gotten sick we assumed it was not bacterial or viral and started looking at other possibilities.

Many doctor visits later they finally ran the test and antibodies to pertussis were very high. The thinking is that my housemates and coworkers didn’t get ill because their vaccinations were good enough to protect them.

Poor baby - I can see her crying after the coughing fits (reminds me of my asthma attacks as a young kid: wheeeeze… sob). I hope the different prescription helps knock that back quickly.

Good intuition on your part!!

As others have noted, so many doctors have simply not seen many of these formerly-common illnesses.