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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
Beta-lactam antibiotics
5
X.a
DRES syndrome - DRESS-like reaction
1
Last update :
05/04/2013
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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
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See also under
Amoxicillin
Cephalexin
Cephalosporin(s)
Flucloxacillin
Imipenem-cilastatin
Meropenem
Penicillins
Publications
Recommendations for the management of beta-lactam intolerance.