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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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

5

VI.t Pulmonary artery aneurysm(s)

1
Last update : 30/12/2013
 
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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
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

Expansive pulmonary artery aneurysm in an IV drug user.
BMJ case reports 2015 Jan 23;2015; 2015 Jan 23
Hemoptysis due to a mycotic pulmonary artery aneurysm in an injecting drug user.
The Thoracic and cardiovascular surgeon 2014 Aug;62;453-5 2014 Aug
Aneurysms and pseudoaneurysms of the pulmonary vasculature.
Seminars in ultrasound, CT, and MR 2012 Dec;33;552-66 2012 Dec
Multiple mycotic aneurysms of the pulmonary arteries resolving with conservative management: multislice CT examination findings.
Journal of thoracic imaging 2008 Aug;23;197-201 2008 Aug
Mycotic pulmonary arterial aneurysms in an intravenous drug user.
Canadian respiratory journal 1998;5;307-11 1998
Mycotic aneurysms of the pulmonary arteries in intravenous drug addicts. Report of three cases and review of the literature.
The American journal of medicine 1984 Jun;76;1124-31 1984 Jun
Multiple mycotic pulmonary artery aneurysms secondary to intravenous drug abuse.
AJR. American journal of roentgenology 1984 Jan;142;89-90 1984 Jan

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