Author/Authors :
Modesto dos Santos, Vitorino Internal Medicine Department - Catholic University Medical Course, Brasilia-DF, Brazil , Pinto Junior, Vitor Laerte Internal Medicine Department - Catholic University Medical Course, Brasilia-DF, Brazil , Guimaraes Paixao, Guilherme Teixeira Internal Medicine Department - Armed Forces Hospital, Brasilia-DF, Brazil , Sampaio de Faria, Kessia Danielle Internal Medicine Department - Catholic University Medical Course, Brasilia-DF, Brazil
Abstract :
A 66-year-old male presented with productive cough and
breathlessness after an upper airway infection. There was
no fever or other symptoms. Main antecedents were birth
at home, long-term use of formoterol and budesonide to control
episodes of breathlessness and wheezing since infancy. There was
a family history of asthma. Diagnosis was elsewhere established
by diurnal variation in his peak expiratory flow of more than 20%
over a two-week period and an increase of more than 200 mL and
12% in FEV1 after bronchodilator use. He denied a history of tuberculosis,
foreign body aspiration or recurrent chest infections.
The patient was an ex-smoker (15 pack years) who quit smoking
14 years earlier.
