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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Hydrocarbons (petrochemicals: petroleum, petrolatum, paraffin, vaseline, naphta, jet fuel (kerosene), Diesel, gasoil), ointments, salad oil, variegated oils, butter). Aspirated

5

XVI.f Imaging: Bibasilar opacities/shadowing

3
Last update : 19/03/2013
 
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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
Kerdane
5
Paraffin-Vaseline-Oil-Lipids (Mineral or other) p.o./inhaled/aspirated
5

Publications

Fire-eater's lung.
Advances in respiratory medicine 2016;84;337-341 2016
Fire eater's lung: retrospective analysis of 123 cases reported to a National Poison Center.
Respiration; international review of thoracic diseases 2014;87;98-104 2014
Severe pneumonitis after fire eating.
BMJ case reports 2012 Sep 03;2012; 2012 Sep 03
Exogenous lipoid pneumonia - a case report of a fire-eater.
Polish journal of radiology 2012 Oct;77;60-4 2012 Oct
[Consequences of an accidental aspiration of petroleum in a case of a fire eating man].
Praxis 2012 Jun 06;101;793-8 2012 Jun 06
Fire-eater's lung: seventeen cases and a review of the literature.
Medicine 2001 Sep;80;291-7 2001 Sep
Fire eater's pneumonia: radiographic and CT findings.
Journal of computer assisted tomography 2000;24;448-50 2000
Punk rocker's lung: pulmonary fibrosis in a drug snorting fire-eater.
British medical journal (Clinical research ed.) 1981 Dec 19-26;283;1661 1981 Dec 19-26

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