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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Durvalumab

3

XII.d Myocarditis (can be fulminant)

1
Last update : 02/07/2021
 
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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
Immune checkpoint inhibitors (ICI) - ICI combinatorial Rx
5
Ipilimumab
4
Nivolumab
5
Tremelimumab
1

Publications

Durvalumab-Associated Myocarditis Initially Presenting With Sinus Bradycardia Progressing Into Complete Heart Block.
Cureus 2023 Jun;15;e40171 2023 Jun
Durvalumab-associated Late-onset Myocarditis Successfully Treated with Corticosteroid Therapy.
Internal medicine (Tokyo, Japan) 2022 Feb 15;61;527-531 2022 Feb 15
Durvalumab-induced myocarditis, myositis, and myasthenia gravis: a case report.
Journal of medical case reports 2021 May 31;15;278 2021 May 31

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