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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Fluorouracil (5-FU)

3

II.d Pulmonary edema, cardiogenic

1
Last update : 06/04/2012
 
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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

Publications

5-Fluorouracil-induced acute reversible heart failure not explained by coronary spasms, myocarditis or takotsubo: lessons from MRI.
BMJ case reports 2016 Jun 01;2016; 2016 Jun 01
Toxic cardiogenic shock in a patient receiving weekly 24-h infusion of high-dose 5-fluorouracil and leucovorin.
Japanese journal of clinical oncology 1998 Sep;28;551-4 1998 Sep
Cardiotoxicity of high-dose continuous infusion fluorouracil: a prospective clinical study.
Journal of clinical oncology : official journal of the American Society of Clinical Oncology 1992 Nov;10;1795-801 1992 Nov

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