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    Subjects/Pediatrics/Pertussis and Diphtheria
    Pertussis and Diphtheria
    medium
    smile Pediatrics

    A 6-month-old female infant from rural Maharashtra presents with a 3-week history of paroxysmal cough. The mother reports that the cough is worst at night and is followed by a high-pitched inspiratory sound (whoop). The infant has not received any vaccinations. On examination, she is afebrile, with mild conjunctival injection and scattered crackles on auscultation. A nasopharyngeal swab culture on Bordet–Gengou medium grows small, gram-negative coccobacilli. What is the most likely diagnosis?

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