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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Antituberculous chemotherapy

2

X.i The immune reconstitution syndrome (IRCS)

1
Last update : 31/10/2012
 
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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
Ethambutol
1
Isoniazid - INH
2
Para-aminosalicylic acid (PAS)
1
Rifampicin
1

Publications

Acute respiratory distress during paradoxical reaction to antituberculous therapy in an 8-month-old child.
Lung India : official organ of Indian Chest Society 2012 Oct;29;381-3 2012 Oct
Neurologic manifestations of paradoxical tuberculosis-associated immune reconstitution inflammatory syndrome: a case series.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2009 Jun 01;48;e96-107 2009 Jun 01

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