Pneumotox » Pattern » XVIII.d - Eye catcher: Mercury embolism (in lung and/or in other tissues)

XVIII.d

Eye catcher: Mercury embolism (in lung and/or in other tissues)

In the form of multiple branched intravascular densities. See also under XVIIIL (acrylate embolism, to which the condition may resemble). Densities and mercury droplets on Imaging at injection site (e.g. the forearm) may help diagnose the condition

Last update : 01/01/1970

Causative drugs

1

Mercury (Hg) (fluid, metallic, elemental) i.v., i.m.

I.af II.b II.u VI.a VI.j XII.s XVI.ax XVIII.d

2

1

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

The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

XVIII.d

Eye catcher: Mercury embolism (in lung and/or in other tissues)

Causative drugs

Mercury (Hg) (fluid, metallic, elemental) i.v., i.m.