Rib fracture in the context of "Asymptomatic"

Whooping cough (/ˈhuːpɪŋ/ or /ˈhwʊpɪŋ/), also known as pertussis or the 100-day cough, is a highly contagious, vaccine-preventable bacterial disease. Initial symptoms are usually similar to those of the common cold with a runny nose, fever, and mild cough, but these are followed by two or three months of severe coughing fits. Following a fit of coughing, a high-pitched whoop sound or gasp may occur as the person breathes in. The violent coughing may last for 10 or more weeks, hence the phrase "100-day cough". The cough may be so hard that it causes fatigue, vomiting, and rib fractures. Children less than one year old may have little or no cough and instead have periods when they cannot breathe. The incubation period is usually seven to ten days. Disease may occur in those who have been vaccinated, but symptoms are typically milder.

The bacterium Bordetella pertussis causes pertussis, which is spread easily through the coughs and sneezes of an infected person. People are infectious from the start of symptoms until about three weeks into the coughing fits. Diagnosis is by collecting a sample from the back of the nose and throat. This sample can then be tested either by culture or by polymerase chain reaction.