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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Crack cocaine

5

VIII.d Thermal (burns, frostbite), chemical or caustic injury on the face, mouth, tongue, pharynx or upper airway

2
Last update : 12/04/2012
 
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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
Cocaine
5
Levamisole
4
Levamisole-adulterated/tainted cocaine
5

Publications

Clinical review: Major consequences of illicit drug consumption.
Critical care (London, England) 2008;12;202 2008
Thermal epiglottitis in adults: a new complication of illicit drug use.
The Journal of emergency medicine 1997;15;483-5 1997
The pulmonary complications of crack cocaine. A comprehensive review.
Chest 1995 Jan;107;233-40 1995 Jan
A review of pulmonary pathology and mechanisms associated with inhalation of freebase cocaine ("crack").
The American journal of forensic medicine and pathology 1993 Mar;14;1-9 1993 Mar
Airway complications from free-basing cocaine.
Chest 1989 Feb;95;476-7 1989 Feb

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