There is increasing evidence and awareness that pertussis isnot just a disease of children. Although most severe diseaseand almost all mortality occur in young infants, the overalldisease burden is increasingly shifting to adolescents and adults.1There have been large outbreaks of pertussis among adolescentswho had both classic pertussis symptoms and prolonged illnesswith cough.2 Pertussis is less well characterized in adultsthan in adolescents but has been associated with up to 20 percentof prolonged illness with cough. Studies have suggested thatthe clinical severity of pertussis in adults increases withage.3