Pneumotox » Drug » Acupuncture

Acupuncture

Acupuncture. May produce adverse respiratory effects and cardiac injury including hemopericardium, pericardial tamponade and pneumothorax (PMID 11829156, 18538597, 21093944, 22936058)

Last update : 13/12/2019

V.e Hemothorax - Serosanguineous pleural effusion

V.f Pneumothorax

V.h Chylothorax

V.n Hemopericardium - Bloody pericardial effusion

V.y Bilateral tension pneumothorax (can be fatal)

V.ab Pneumothorax, bilateral

VI.r Septic pulmonary embolism

XII.c Pericardial effusion (w/wo tamponade)

XII.y Pneumopericardium

XII.ae Aortic dissection

XII.am Cardiac injury/trauma

XII.at Aortitis

XII.av Infectious aortitis

XII.be Septic/purulent pericardial effusion

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment

More detailed checklist

The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France