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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Organophosphates

5

IX.a Diaphragm/inspiratory muscle weakness/paralysis (w/wo ARF)

3
Last update : 28/03/2013
 
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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
Malathion
1

Publications

Organophosphorus insecticide poisoning.
BMJ clinical evidence 2015 Nov 30;2015; 2015 Nov 30
Respiratory complications of organophosphorus nerve agent and insecticide poisoning. Implications for respiratory and critical care.
American journal of respiratory and critical care medicine 2014 Dec 15;190;1342-54 2014 Dec 15
Central respiratory failure during acute organophosphate poisoning.
Respiratory physiology & neurobiology 2013 Nov 01;189;403-10 2013 Nov 01
Respiratory failure in acute organophosphorus pesticide self-poisoning.
QJM : monthly journal of the Association of Physicians 2006 Aug;99;513-22 2006 Aug

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