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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Corticosteroids, systemic (oral, parenteral)

5

XVII.r Fungal infection (pulmonary/extrapulmonary)

4
Last update : 01/03/2014
 
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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
Adrenocorticotropic hormone (ACTH)
2
Budesonide (p.o.)
1
Corticosteroids, inhaled (ICS)
5
Methylprednisolone
2
Prednisone
5
Salt (NaCl)
1

Publications

Case 9-2020: A 64-Year-Old Man with Shortness of Breath, Cough, and Hypoxemia.
The New England journal of medicine 2020 Mar 19;382;1150-1159 2020 Mar 19
Glucocorticoids and invasive fungal infections.
Lancet (London, England) 2003 Nov 29;362;1828-38 2003 Nov 29

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