Volume 54, Issue 6 pp. 1630-1633
HEMAPHERESIS

Severe pertussis and hyperleukocytosis: is it time to change for exchange?

Amir Kuperman

Amir Kuperman

Pediatric Hematology Clinic and Coagulation Service, Western Galilee Hospital, Naharia, Israel

Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel

These authors contributed equally.Search for more papers by this author
Yoav Hoffmann

Corresponding Author

Yoav Hoffmann

Pediatric Intensive Care Unit, Western Galilee Hospital, Naharia, Israel

These authors contributed equally.Address reprint requests to: Yoav Hoffmann, MD, The Pediatric Intensive Care Unit, Western Gallile Hospital, Naharia 22100, Israel; e-mail: [email protected].Search for more papers by this author
Danny Glikman

Danny Glikman

Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel

Infectious Disease Unit, Western Galilee Hospital, Naharia, Israel

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Husein Dabbah

Husein Dabbah

Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel

Pediatric Pulmonology Clinic, Western Galilee Hospital, Naharia, Israel

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Zeev Zonis

Zeev Zonis

Pediatric Intensive Care Unit, Western Galilee Hospital, Naharia, Israel

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First published: 16 December 2013
Citations: 26

Abstract

Background

Pertussis is an important cause of infant death worldwide and continues to be a public health concern even in countries with high vaccination coverage. Severe (critical) pertussis with hyperleukocytosis is a severe form of the disease with up to 80% mortality rate. Attempts have been reported to reduce the white blood cell burden by exchange transfusion (ET) with conflicting conclusions.

Case Report

We report a case of critical pertussis in a neonate who was treated with ET, in view of a comprehensive literature review.

Results

The patient was discharged without any sequelae.

Conclusion

ET should be considered in all infants suffering from critical pertussis and hyperleukocytosis, even in secondary care community hospitals.

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