eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2018-06-15 6 5 87 88 10.12691/ajmcr-6-5-3 AJMCR2018653 article Asad Ullah asad-86@live.com 1 Zeeshan Khakwani 1 Department of Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, PA, USA A 67 year old man presented with right sided flank pain, flu like symptoms and cough. Initial chest x-ray was unremarkable. Serology was positive for pertussis and a repeat chest x-ray for ribs showed a rib fracture. He received supportive treatment with improvement of his symptoms. http://pubs.sciepub.com/ajmcr/6/5/3/ajmcr-6-5-3.pdf rib fracture pertussis