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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Tacrolimus (FK506)

1

XVII.e Pneumocystis jiroveci pneumonia

1
Last update : 04/12/2013
 
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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

Pneumocystis pneumonia induced by treatment with low-dose tacrolimus and methylprednisolone in a patient with rheumatoid arthritis: a case report.
BMC research notes 2013 Dec 01;6;498 2013 Dec 01
Two cases of fatal Pneumocystis jirovecii pneumonia as a complication of tacrolimus therapy in ulcerative colitis--a need for prophylaxis.
Journal of Crohn's & colitis 2010 Nov;4;606-9 2010 Nov

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