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Diaphragmatic Rupture*: A Complication of Violent Cough

Liziamma George, MD, FCCP; Shakaib U. Rehman, MD; Faroque A. Khan, MB, MACP, FCCP
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*From the Division of Pulmonary Diseases (Dr. George) and the Department of Medicine (Dr. Khan), Nassau County Medical Center, Stony Brook, NY; and Johnson Clinic (Dr. Rehman), Rugby, North Dakota.

Correspondence to: Liziamma George, MD, FCCP, Attending, Division of Pulmonary Diseases, Nassau County Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554



Chest. 2000;117(4):1200-1201. doi:10.1378/chest.117.4.1200
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The cough is a complex physiologic response designed to protect airways from unwanted secretions and foreign materials. Violent and paroxysmal coughs are associated with many complications. In this article, we will discuss a patient who sustained diaphragmatic rupture as a result of violent coughing. The possible mechanisms of this rare complication are explained.

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