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- W2070448049 abstract "Des études récentes ont montré que la prévalence de la coqueluche serait de l'ordre de 10 à 20 % chez les patients adultes souffrant d'une toux chronique d'une durée supérieure à huit jours et inférieure à deux mois. Confronté à ce symptôme très banal, le clinicien doit penser à la coqueluche et tenter d'étayer ce diagnostic par cinq éléments clés : 1) le caractère paroxystique et asthéniant de la toux ; 2) la chronologie particulière des symptômes, la toux s'aggravant après une banale phase catarrhale initiale ; 3) la normalité de l'examen physique entre les accès de toux ; 4) l'identification dans l'entourage d'un possible contaminateur ; 5) la normalité de la radiographie thoracique. Une suspicion clinique renforcée doit en effet conduire à demander les examens biologiques susceptibles d'affirmer le diagnostic (PCR chez l'adulte vacciné, sérologie par immunoempreinte) et à discuter une antibiothérapie adéquate (macrolides). Recent studies have shown that the prevalence of whooping cough is from 10–20% in adult patients who have a persistent cough for more than a week but not longer than two months. Faced with this very ordinary symptom, the clinician must consider whooping cough and try to support this diagnosis by the five key elements: 1) the paroxysmal and asthenic nature of the cough; 2) the particular course of the symptoms, where the cough becomes aggravated after an initial catarrhal stage; 3) the normal physical examination between coughing attacks; 4) the identification of a possible contaminating agent in the family circle; and 5) a normal chest X-ray. A strengthened clinical suspicion should lead the clinician to request biological tests likely to confirm the diagnosis (PCR for a vaccinated adult, serology by immunoprint) and to discuss an adequate antibiotic therapy (macrolides)." @default.
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- W2070448049 date "2001-03-01" @default.
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- W2070448049 title "Formes cliniques de la coqueluche de l'adulte : quand y penser ?" @default.
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- W2070448049 doi "https://doi.org/10.1016/s0399-077x(01)80096-2" @default.
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