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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Thrombolytic (fibrinolytic) agents

3

VIII.b Hematoma of/around central airway wall potentially causing UAO

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

Thyroid hemorrhage causing airway obstruction after intravenous thrombolysis for acute ischemic stroke.
Neurocritical care 2013 Dec;19;381-4 2013 Dec
Lingual Haematoma due to Tenecteplase in a Patient with Acute Myocardial Infarction.
Case reports in otolaryngology 2013;2013;239796 2013
Images in clinical medicine. Lingual hematoma after thrombolytic therapy.
The New England journal of medicine 2011 Feb 17;364;e13 2011 Feb 17
Diffuse alveolar hemorrhage following thrombolytic therapy for acute myocardial infarction.
Respiration; international review of thoracic diseases 2000;67;445-8 2000

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