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Diagnosing DIRD
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The Drug-Induced Respiratory Disease Website
Philippe Camus, M.D.
Dijon, France
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Drugs
Patterns
Fluids, i.v.
3
II.h
Overload pulmonary edema (including posttransfusional (TACO))
3
Last update :
29/11/2014
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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
Malfunctioning Pediatric infusion set leading to accidental fluid overload and pulmonary edema.
Cardiopulmonary effects of volume expansion in man: radiographic manifestations.