A case of acute exacerbation of chronic obstructive pulmonary disease

India
Mumbai

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A 69-year-old retired male, known case of chronic obstructive pulmonary disease, rushed to the emergency room with acute exacerbation. He stated that there was an increase in the volume and purulence of phlegm. His forced expiratory volume in 1 second was 35% predicted at the recent outpatient visit. Additionally, he had hypertension and type 2 diabetes for the past 10 years. He had stopped smoking 5 years ago. His current prescription included an inhaled long-acting ?2-agonist (salmeterol), inhaled long-acting anti-muscarinic (tiotropium bromide), combination of telmisartan/amlodipine (80 mg/5 mg) once daily, and combination of metformin/glimiperide (500 mg/2 mg) once daily. Oral steroid courses had helped his breathlessness and he had taken at least two courses this year. Direct questioning revealed that he was non-compliant to his medications.

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