2022
DOI: 10.1093/ofid/ofac478
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Invasive Bordetella pertussis Infection in Infants: A Case Report

Abstract: Infants are more likely to develop severe pertussis. We report a malignant pertussis case in a 2-month-old boy with respiratory failure, severe pneumonia, septic shock, and encephalopathy. Bordetella pertussis was detected from nasopharyngeal secretions by PCR, as well as both blood and cerebrospinal fluid samples via metagenomics next-generation sequencing.

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Cited by 2 publications
(2 citation statements)
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“…Transmission of Bordetellae is typically attributed to respiratory droplets from coughing patients ( Nieves and Heininger, 2016 ) and does not normally invade beyond the respiratory tract ( Stevenson and Roberts, 2003 ). The bacteria can colonize in the respiratory tract, blood, and body fluids (such as cerebrospinal fluid; Liao et al, 2022 ), and B. bronchiseptica persist in a variety of environments outside the host, including water and on surfaces ( Porter et al, 1991 ). Though no current reports manifest the presence of Bordetella in arthropods, our findings imply that Dermacentor nuttalli could be a potential vector for Bordetella , contradicting other reports that solely suggest transmission and infectious in mammals ( Mattoo and Cherry, 2005 ).…”
Section: Discussionmentioning
confidence: 99%
“…Transmission of Bordetellae is typically attributed to respiratory droplets from coughing patients ( Nieves and Heininger, 2016 ) and does not normally invade beyond the respiratory tract ( Stevenson and Roberts, 2003 ). The bacteria can colonize in the respiratory tract, blood, and body fluids (such as cerebrospinal fluid; Liao et al, 2022 ), and B. bronchiseptica persist in a variety of environments outside the host, including water and on surfaces ( Porter et al, 1991 ). Though no current reports manifest the presence of Bordetella in arthropods, our findings imply that Dermacentor nuttalli could be a potential vector for Bordetella , contradicting other reports that solely suggest transmission and infectious in mammals ( Mattoo and Cherry, 2005 ).…”
Section: Discussionmentioning
confidence: 99%
“…An increase in white blood cells typically occurs in cases of severe pertussis, which is defined by pneumonia with refractory hypoxemia and cardiogenic shock [3,4]. Although pertussis is a common infection worldwide, reports of invasive pertussis in the bloodstream to date are rare and have involved immunocompromised patients [5]. This infection can be under-diagnosed, especially during the winter period because it is possible to confuse whooping cough symptoms with those of other common respiratory infections [6].…”
Section: Introductionmentioning
confidence: 99%