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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Cocaine

5

XI.b Chest pain (acute or subacute), lone or prominent

2
Last update : 31/08/2012
 
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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
See also under
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
5
Crack cocaine
5
Levamisole
4
Levamisole-adulterated/tainted cocaine
5
Talc (inhaled, sniffed, i.v., intrapleural)
3

Publications

Acute Coronary Syndrome: Common Complications and Conditions That Mimic ACS.
FP essentials 2020 Mar;490;29-34 2020 Mar
Rethinking cocaine-associated chest pain and acute coronary syndromes.
Mayo Clinic proceedings 2011 Dec;86;1198-207 2011 Dec
Stimulant-induced pulmonary toxicity.
Chest 1995 Oct;108;1140-9 1995 Oct
Cocaine-associated chest pain: a case of aortic dissection.
Journal of the Tennessee Medical Association 1995 Jul;88;271 1995 Jul
Cocaine chest pain.
Emergency medicine clinics of North America 1994 May;12;391-6 1994 May
Cocaine-related symptoms in patients presenting to an urban emergency department.
Annals of emergency medicine 1991 Jun;20;616-21 1991 Jun
Sudden death temporally related to vaginal cocaine abuse.
The American journal of emergency medicine 1989 Jan;7;129-31 1989 Jan

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