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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Heroin (intravenous)

5

IV.k Bronchiectasis

1
Last update : 24/04/2014
 
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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
Heroin (inhaled, insufflated, snorted)
4
Methadone
5
Opiates - Opioids - Opium
5

Publications

Bronchiectasis: a cause of pulmonary symptoms in heroin addicts.
Respiration; international review of thoracic diseases 1979;37;232-7 1979
Bronchiectasis following heroin-induced pulmonary edema. Rapid clearing of pulmonary infiltrates.
Chest 1976 Apr;69;552-5 1976 Apr
Pulmonary complication of heroin intoxication. Aspiration pneumonia and diffuse bronchiectasis.
JAMA 1972 Feb 21;219;1051-3 1972 Feb 21

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