Chronic cough with multiple causes
Abstract
This case reports a 57-year-old lady presented with cough of two months duration despite repeated treatments from multiple general practitioners. It took her another two months to know her diagnoses and a further couple of months to be relieved of her cough and became asymptomatic. Chronic cough management in primary care often needs an empiric integrative approach and requires good doctor-patient rapport with informed follow ups and continuity of care to be successful.
References
Irwin RS. Complications of cough: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1Suppl):54S-8S.
Wong CM, Lim KH, Liam CK. Assessment and management of chronic cough. Med J Malaysia. 2002;57(4):515-23.
Irwin RS, Madison JM. The diagnosis and treatment of cough. N Engl J Med. 2000;343(23):1715-21.
Pratter MR, Brightling CE, Boulet LP, et al. An empiric integrative approach to the management of cough: ACCP evidence- based clinical practice guidelines. Chest. 2006;129(1 Suppl):222S-31S.
Simpson CB, Amin MR. Chronic cough: State-of-the-art review. Otolaryngol Head Neck Surg. 2006;134(4):693-700.
Bolser DC. Cough suppressant and pharmacologic protussive therapy: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 Suppl):238S-49S.
Dicpinigaitis PV. Chronic cough due to asthma: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 Suppl):75S-9S.
Brightling CE. Chronic cough due to nonasthmatic eosinophilic bronchitis: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 Suppl):116S-21S.
Irwin RS. Chronic cough due to gastroesophageal reflux disease: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 Suppl):80S-94S.
