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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Streptomycin

1

IX.a Diaphragm/inspiratory muscle weakness/paralysis (w/wo ARF)

1
Last update : 02/05/2012
 
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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

Respiratory paralysis after a large dose of streptomycin. Report of a case.
British medical journal 1961 Feb 25;1;556-7 1961 Feb 25

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