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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Bezoars, pharmacobezoars, body packing

2

IX.d Respiratory failure from ventilatory depression (due to neuromuscular blockade/paralysis)

2
Last update : 22/02/2015
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
5
Cocaine
5
Heroin (oral)
2
Methamphetamine
5
Theophylline
3

Publications

Suicidal overdose with relapsing clomipramine concentrations due to a large gastric pharmacobezoar.
Forensic science international 2013 Jun 10;229;e19-22 2013 Jun 10
Crack-ing the case: a patient with persistent delirium due to body packing with cocaine.
Irish medical journal 2012 Apr;105;118-9 2012 Apr

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