Pertussis remains a public health concern in Oregon, especially among young infants. The disease can be severe in this age group and is associated with a high inpatient cost. This report describes an Oregon infant who was hospitalized with pertussis for 90 days, required extracorporeal oxygenation for 43 days, suffered complications including stroke, and had hospital charges totaling $1.5 million. Pertussis morbidity among young infants argues for vaccination of women during each pregnancy and of infants beginning promptly at two months of age.Pertussis is often considered a merely persistent but ultimately self-limited nagging cough. However, afflicted infants may suffer hospitalization, serious complications, and sometimes death. 1 We report a severe case of pertussis and review recent public health data to describe the burden of pertussis among infants in Oregon.
CASE REPORTA 3,136-gram Hispanic girl was born at 35 weeks' estimated gestational age via normal spontaneous vaginal delivery, was vaccinated at birth with hepatitis B vaccine, and had an uneventful postnatal course. The family subscribed to vaccination, and the baby's siblings were current with pertussis-containing vaccines. The mother had declined tetanus, diphtheria, and acellular pertussis vaccine (Tdap) offered during pregnancy. She received it two weeks after delivery.At 18 days of life, the baby was brought to an emergency department for a choking episode after being bottle-fed breast milk. According to the patient's father, prior to being brought to the emergency department, the baby had