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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Pembrolizumab

5

XVII.c Aspergillosis, pulmonary (invasive, allergic [ABPA], or mycetoma)

1
Last update : 15/08/2018
 
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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
Atezolizumab
2
Immune checkpoint inhibitors (ICI) - ICI combinatorial Rx
5
Ipilimumab
4
Lambrolizumab
4
Nivolumab
5
PD-1/PD-L1-inhibitors or blocking agents/drugs
5

Publications

Allergic bronchopulmonary aspergillosis presumably unmasked by PD-1 inhibition.
BMJ case reports 2019 Feb 13;12; 2019 Feb 13
Invasive Pulmonary Aspergillosis Complicated by Carbapenem-Resistant Pseudomonas aeruginosa Infection During Pembrolizumab Immunotherapy for Metastatic Lung Adenocarcinoma: Case Report and Review of the Literature.
Mycopathologia 2019 Feb;184;181-185 2019 Feb

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