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  • Title: Fracture of the first rib as a consequence of pertussis infection.
    Author: Prasad S, Baur LA.
    Journal: J Paediatr Child Health; 2001 Feb; 37(1):91-3. PubMed ID: 11168880.
    Abstract:
    We report the first described case of a first rib fracture secondary to pertussis infection. An 11-year-old boy presented with sudden onset of severe right-sided pleuritic chest pain on a background of a 6 week history of a coughing illness and considerable weight loss. Pertussis was clinically suspected and proven on serology. A cause for the severe pain was initially difficult to confirm, causing some concern regarding possible underlying pathology, but was later demonstrated to be due to a first rib fracture. The anatomy of the first rib, and the biomechanical forces placed upon it that are exacerbated during a coughing illness are described.
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