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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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  • Drugs
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Abused drugs/substances (illicit-, street drugs - IV/inhaled)

5

XI.r Death following exposure or poisoning

4
Last update : 30/08/2012
 
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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
Amphetamine (and -derivatives)
3
Amyl-nitrite, butyl-nitrite, isobutyl-nitrite ('Poppers')
4
Antidotes
1
Body packing
4
Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)
5
Cathinones, synthetic ('Bath salts')
5
Cocaine
5
Crack cocaine
5
E-cigarette - E-vaporizers - ENDS - Vaping - Dabbing
5
E-cigarette's, e-vaporizer's secondhand vapor (Passive vaping)
1
Excipients-Vehicle-Preservatives (of drugs)
5
Heroin (inhaled, insufflated, snorted)
4
Heroin (intravenous)
5
Inhalants (volatile substances)
5
Marijuana, cannabis (haschish, hash, bang, dab)
5
Methadone
5
Opiates - Opioids - Opium
5
Recreational drugs
5
Sniffed drugs (opioids, acetaminophen)
5
Talc (inhaled, sniffed, i.v., intrapleural)
3
Warfarin
5

Publications

Ingestion of drugs by "parachuting": a unique drug delivery technique.
The American journal of forensic medicine and pathology 2012 Jun;33;173-5 2012 Jun
Association of pulmonary histopathological findings with toxicological findings in forensic autopsies of illicit drug users.
Vojnosanitetski pregled 2011 Aug;68;639-42 2011 Aug
A flood of opioids, a rising tide of deaths.
The New England journal of medicine 2010 Nov 18;363;1981-5 2010 Nov 18

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