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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Corticosteroids, inhaled (ICS)

5

XVII.m Fungal airway infection

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
Beclomethasone
2
Budesonide (inhaled)
3
Corticosteroids, systemic (oral, parenteral)
5
Fluticasone (inhaled - ICS)
4

Publications

Cryptococcal infection of the larynx: case report.
The Journal of laryngology and otology 2013 Jul;127 Suppl 2;S54-6 2013 Jul
Tracheobronchial mycosis in a retrospective case-series study of five status asthmaticus patients.
Clinical immunology (Orlando, Fla.) 2013 Feb;146;77-83 2013 Feb
Laryngeal and respiratory tract sporotrichosis and steroid inhaler use.
Archives of pathology & laboratory medicine 2003 Jul;127;893-4 2003 Jul
Laryngeal aspergillosis following high dose inhaled fluticasone therapy for asthma.
Thorax 1999 Sep;54;860-1 1999 Sep

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