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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Thrombolytic (fibrinolytic) agents

3

V.e Hemothorax - Serosanguineous pleural effusion

1
Last update : 14/09/2012
 
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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
Alteplase (rTPA)
2
Fibrinolytic agents (intrapleural)
1
Streptokinase
2
Tenecteplase
1
Urokinase
1

Publications

Life-threatening pleural hemorrhage following intrapleural enzyme therapy and successful treatment with fibrin-thrombin sealant pleurodesis: a case report.
Journal of medical case reports 2015 Dec 18;9;287 2015 Dec 18
Hemothorax under thrombolytic therapy with recombinant tissue: plasminogen activator (rt-PA) in a 16-year-old girl.
European journal of pediatrics 1999 Dec;158 Suppl 3;S140-2 1999 Dec
Unusual bleeding complications of thrombolytic therapy after cardiopulmonary resuscitation. Three case reports.
Angiology 1997 Oct;48;925-8 1997 Oct

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