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Pertussis manifesting as recurrent cough and wheezing in an incompletely vaccinated 8-month-old infant
  1. Dimitri Poddighe1,2,
  2. Marco Giuseppe Nedbal1,
  3. Nunzia Mastricci1,
  4. Paola Bruni1
  1. 1Department of Pediatrics, ASST Melegnano e Martesana, Vizzolo Predabissi, Italy
  2. 2Department of Pediatrics, Univesità degli Studi di Pavia, Pavia, Italy
  1. Correspondence to Dr Dimitri Poddighe, dimimedpv{at}


Pertussis is an acute respiratory illness caused by Bordetella pertussis, showing a re-emergence in developed countries. However, it is probably under-recognised and, as a consequence, its burden is underestimated. Here, we report the clinical case of an infant diagnosed with pertussis, despite a regular schedule of vaccination, thanks to a careful clinical evaluation, including personal and family history. In addition to pointing the attention on a precocious diagnosis of atypical cases of pertussis, this case report further raised the issue of modifying and/or implementing the immunisation strategy, considering the ongoing changes of social (eg, immigration) and sanitary (eg, vaccine coverage) background in Italy and all over the Europe.

  • general practice / family medicine
  • global health
  • pneumonia (infectious disease)
  • paediatrics
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  • Contributors DP diagnosed and managed the clinical case. MGN, NM and PB provided contribution to the clinical management. DP conceived and wrote the paper.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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