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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
Ecstasy (MDMA)
4
II.a
Pulmonary edema, noncardiogenic (NCPE)
1
Last update :
17/04/2012
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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
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
Amphetamine (and -derivatives)
Publications
Isolated non-cardiogenic pulmonary edema - A rare complication of MDMA toxicity.
A Case of MDMA-Associated Cerebral and Pulmonary Edema Requiring ECMO.
MDMA-induced acute pulmonary edema in a patient without other organ dysfunction.
Fatal hyponatremia in a young woman after ecstasy ingestion.
Ecstasy--deadly risk even outside rave parties.
Our experiences with fatal ecstasy abuse (two case reports).
Pulmonary oedema caused by "liquid ecstasy" ingestion.
