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Diagnosing DIRD
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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
VII.i
Mediastinitis
1
Last update :
25/11/2018
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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)
Amyl-nitrite, butyl-nitrite, isobutyl-nitrite ('Poppers')
Antidotes
Body packing
Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)
Cathinones, synthetic ('Bath salts')
Cocaine
Crack cocaine
E-cigarette - E-vaporizers - ENDS - Vaping - Dabbing
E-cigarette's, e-vaporizer's secondhand vapor (Passive vaping)
Excipients-Vehicle-Preservatives (of drugs)
Heroin (inhaled, insufflated, snorted)
Heroin (intravenous)
Inhalants (volatile substances)
Marijuana, cannabis (haschish, hash, bang, dab)
Methadone
Opiates - Opioids - Opium
Recreational drugs
Sniffed drugs (opioids, acetaminophen)
Talc (inhaled, sniffed, i.v., intrapleural)
Warfarin
Publications
48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse.