Rapid Diagnosis of a Family Cluster of Pertussis Starting from a Child: a Case Report

Clin Lab. 2020 Jun 1;66(6). doi: 10.7754/Clin.Lab.2019.191110.

Abstract

Background: Pertussis, caused by Bordetella pertussis (B. pertussis), is a highly transmissible, acute respiratory disease that occurs in many countries. Diagnosis of pertussis continues to be a challenge using traditional tests due to their turn-around time and sensitivity. Herein, we rapidly and accurately screened a family cluster of pertussis from a child and her mother.

Methods: We used an automated nested multiplex PCR system which included B. pertussis, influenza A virus, and 19 other respiratory pathogens.

Results: We detected B. pertussis, influenza A virus H1-2009 (FluA-2009), adenovirus, and respiratory syncytial virus (RSV) in the child, and the mother of the child was positive for B. pertussis and FluA-2009.

Conclusions: Active and timely screening for pertussis of adult family members should be considered. The detection of multiple respiratory pathogens may guide effective antibiotic therapies. This could be a novel test for the prevention of pertussis.

Publication types

  • Case Reports

MeSH terms

  • Adenoviridae / isolation & purification*
  • Adult
  • Anti-Bacterial Agents* / administration & dosage
  • Anti-Bacterial Agents* / classification
  • Antiviral Agents / administration & dosage*
  • Bordetella pertussis / isolation & purification*
  • Coinfection / diagnosis
  • Coinfection / microbiology
  • Coinfection / physiopathology
  • Coinfection / therapy
  • Disease Hotspot
  • Family Health
  • Female
  • Hospitalization
  • Humans
  • Infant
  • Influenza A virus / isolation & purification*
  • Microbiological Techniques / methods
  • Multiplex Polymerase Chain Reaction / methods*
  • Respiratory Syncytial Viruses / isolation & purification*
  • Severity of Illness Index
  • Whooping Cough* / diagnosis
  • Whooping Cough* / microbiology
  • Whooping Cough* / physiopathology
  • Whooping Cough* / therapy

Substances

  • Anti-Bacterial Agents
  • Antiviral Agents