RT Journal Article SR Electronic T1 Pertussis manifesting as recurrent cough and wheezing in an incompletely vaccinated 8-month-old infant JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr-2017-221562 DO 10.1136/bcr-2017-221562 VO 2017 A1 Dimitri Poddighe A1 Marco Giuseppe Nedbal A1 Nunzia Mastricci A1 Paola Bruni YR 2017 UL http://casereports.bmj.com/content/2017/bcr-2017-221562.abstract AB 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.