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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2020

Open Access 01-12-2020 | Cough | Case report

Cough-induced rib fracture in a smoker: a case report

Authors: Aimee Daccache, Jad Haddad, Ahmad Ghanem, Elio Junior Feghali, Bassel El Osta

Published in: Journal of Medical Case Reports | Issue 1/2020

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Abstract

Background

Coughing is considered an important mechanism that helps the body get rid of foreign substances or prevent their entry into the tracheobronchial tree. Infrequently, after the onset of coughing, patients presenting with persistent chest pain are found to have rib fractures. Among the cases reported for cough-induced rib fractures, the maximum number of fractured ribs was found to be four.

Case presentation

In this report, we present a case of a healthy 50-year-old Lebanese smoker who developed a total of six fractures in five ribs, asymmetrically, after coughing for 2.5 months.

Conclusion

This case report is, to our knowledge, the first to describe six cough-induced rib fractures in a smoker without an underlying predisposition.
Literature
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Sünnetçioğlu A, Batur A. Cough-induced rib fracture: a case report. East J Med. 2015;20(4):254–5.
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Trovato DA, Sousa JE, Bruetman JE, Finn BC, Young P. Symmetrical rib fractures associated with chronic cough: report of one case [in Spanish]. Rev Med Chil. 2018;146(3):391–3.CrossRef
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Hanak V, Hartman T, Ryu J. Cough-induced rib fractures: review of 54 cases [abstract]. Chest. 2005;128(4 Suppl):294S.CrossRef
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Sano A, Tashiro K, Fukuda T. Cough-induced rib fractures. Asian Cardiovasc Thorac Ann. 2015;23(8):958–60.CrossRef
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Yeh CF, Su SC. Cough-induced rib fracture in a young healthy man. J Formos Med Assoc. 2012;111(3):179–80.CrossRef
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Sakellaridis T, Andrianopoulos E, Stamatelopoulos A, Laoutides G, Kormas P. Cough induced rib fractures in patients with respiratory infection. Chirurgia. 2008;21(2):73–6.
Metadata
Title
Cough-induced rib fracture in a smoker: a case report
Authors
Aimee Daccache
Jad Haddad
Ahmad Ghanem
Elio Junior Feghali
Bassel El Osta
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2020
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-020-02497-4

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