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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Barium (baryum, Ba) sulfate contrast agent

2

XVI.am Imaging: Contrast tracheo- and/or bronchogram

2
Last update : 19/12/2013
 
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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

Publications

An Esophagogram or Tracheobronchogram? A Review of Barium Sulfate Aspiration.
Journal of investigative medicine high impact case reports 2018;6;2324709618802872 2018
Large-volume barium aspiration.
Proceedings (Baylor University. Medical Center) 2015 Apr;28;183-4 2015 Apr
Respiratory failure from an upper gastrointestinal series.
European respiratory review : an official journal of the European Respiratory Society 2014 Sep;23;396-7 2014 Sep
Aspiration of high-density barium contrast medium causing acute pulmonary inflammation--report of two fatal cases in elderly women with disordered swallowing.
Clinical radiology 1989 Jul;40;397-400 1989 Jul

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