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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Tenecteplase

1

VIII.b Hematoma of/around central airway wall potentially causing UAO

1
Last update : 22/07/2013
 
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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
Anticoagulants, direct oral (anti-thrombin, -IIa, -Xa) - NOAC
3
Anticoagulants, oral (vitamin K antagonists-VKA)
5
Streptokinase
2
Superwarfarins (vitamin K super antagonist rodenticides)
4
Thrombolytic (fibrinolytic) agents
3

Publications

Lingual Haematoma due to Tenecteplase in a Patient with Acute Myocardial Infarction.
Case reports in otolaryngology 2013;2013;239796 2013
Case of the month: A case of airway obstruction following tenecteplase administration.
Emergency medicine journal : EMJ 2006 Oct;23;815-6 2006 Oct

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