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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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  • Drugs
  • Patterns

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

5

XVI.ab Imaging: Cavitating/cavitary lung nodule, mass or nodules (see also Iq, XIs, XIIi, XVIaa and XVIIp)

2

See under XVIIp, lung abscess or abscesses

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

Case records of the Massachusetts General Hospital. Case 35-2014: a 31-year-old woman with fevers, chest pain, and a history of HCV infection and substance-use disorder.
The New England journal of medicine 2014 Nov 13;371;1918-26 2014 Nov 13
Tricuspid Endocarditis and Septic Pulmonary Embolism in an Intravenous Drug User with advanced HIV Infection.
Oman medical journal 2011 Sep;26;365-7 2011 Sep

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