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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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BCG therapy (topical instillations in the urinary bladder)

5

X.u Multiple organ dysfunction/failure (MODS/MOF)

1
Last update : 15/09/2012
 
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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

Concurrent granulomatous hepatitis, pneumonitis and sepsis as a complication of intravesical BCG immunotherapy.
BMJ case reports 2013 Oct 10;2013; 2013 Oct 10
Multi-organ failure with atypical liver granulomas following intravesical Bacillus Calmette-Guerin instillation.
World journal of hepatology 2011 Mar 27;3;79-82 2011 Mar 27

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