Unfortunately, we are again seeing cases of whooping cough in the north suburbs of Chicago.  Although most children have been vaccinated, the cases we are seeing are generally mild cases that are occurring in children who received their last whooping cough vaccine several years ago.  The high risk age groups include infants under 6 months old, and 8, 9, and 10 year olds.  Typical symptoms include cough, which is sometimes the only symptom.  Other symptoms may include fever, nasal congestion, fatigue, or headache.

If you are concerned your child may have the whooping cough, we will test them in the office to see if they do in fact have it.  This is done with a nasal swab that is sent to the hospital, and we typically have results within 24-48 hrs of performing the test.  If it is positive, your child will receive antibiotics, and the entire family will need to receive antibiotics as well.  In addition, typically, any child with pertussis is held out of school until they complete the mandated 5 day course of antibiotics.

Finally, if your child does not have any symptoms, but was closely exposed to another child who has pertussis (whooping cough), please contact us.  In certain cases, we may prescribe prophylactic antibiotics in order to prevent the development of illness in somebody who had a very close exposure history.
 
 
Yes, it is now officially February.  In years past, February is the busiest time with the highest number of sick children.  Currently, we are seeing many illnesses swirling around the Winnetka area and northern suburbs of Chicago.  These include Influenza A, Influenza B, Gastroenteritis ("stomach flu"), Parainfluenza (often seen as "croup"), Strep throat, Pneumonia, RSV, Ear Infections, Conjunctivitis ("pink eye"), and more... all of which means it is especially important to wash hands frequently, eat healthy foods, get enough rest, and cover your mouth if you are coughing.  As always, we are around if you have any questions!
 
 
Every four or five years, pertussis -- better known as "whooping cough" -- rears its ugly head and causes an outbreak of coughing illnesses.  Many days of school are missed, and many parents are worried about their coughing children, some of whom have pertussis and some of who don't.  Unfortunately, Pertussis has hit the Chicago area again in 2010, with outbreaks in several local schools.  Washburne and Highcrest are amongst those schools with the highest number of cases.
The CDC has a good overview of the pertussis infection.  There is also information on the local outbreak here, courtesy of ABC news.
In short, it is an illness that causes coughing that can last for weeks.  For most children who have been vaccinated, the illness is mild but prolonged; we rarely see full-blown cases of the classic illness anymore.  However, we do worry about the illness for family members who are especially prone to getting seriously ill from pertussis: newborns and other infants, and the elderly.  It is for these reasons that it is crucial to make sure everyone in the family is up to date on their pertussis vaccines.
If you have any questions about this illness or suspect somebody in your family may have pertussis, please contact your physician immediately to discuss.
 
Back To School! 09/14/2010
 
As summer comes to an end, many of our families now have kids headed back to school!  It is an equally exciting and busy time, no doubt.  We thought it would be a good idea to mention some of the illnesses that we have been seeing recently.  Stomach flu, with vomiting and diarrhea, has certainly been common in the past few weeks.  We are also seeing fall allergies start to cause sniffling, sneezing, itchy eyes, and coughs for many allergic patients.  There are some circulating viruses causing colds, and we have also seen a recent spike in cases of pneumonia.  Finally, as mentioned in a previous blog, there are still some cases of whooping cough (pertussis) circulating in the area.  On the brighter side, we have NOT yet seen any cases of Influenza in the area yet this fall... and hope not to until the winter!!
 
 
We wanted to let everyone know that we have been seeing an increase in the number of cases of whooping cough (also known as pertussis) in our office this summer.  This illness, which starts as any other cold (cough, runny nose, congestion, maybe fever) proceeds to a lingering cough that can last for weeks to months.  Unfortunately, even some kids who have been appropriately vaccinated have gotten sick with this contagious infection.  The outbreak seems to have started in California, and has now moved eastward to the Chicago area.  If your child has had a chronic cough, you should consider bringing them in for an evaluation.  Please ask us if you have any questions about this, or any other posting!
 
 
We are happy to say, it seems the recent Salmonella outbreak has passed!  We are glad that all of our affected patients seem to be doing much better, and we have not seen any new cases in our office in the past few weeks.  Here, you can see the Cook County Dept of Public Health press release summarizing the situation.  In other exciting news, the AAP has released updated guidelines on treating Lice.  The key points include suggesting that children NOT be taken out of school for Lice, and that 1% Permethrin Lotion be used as the initial treatment (both on the day the lice are found, and again 7-10 days later).  That update can be seen here.