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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

XVIII.a Eye catcher: Contrast tracheo-bronchogram

1
Last update : 28/04/2015
 
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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

Barium in the Bronchi: A Tracheoesophageal Fistula.
ACG case reports journal 2019 Aug;6;e00189 2019 Aug
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

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