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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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  • Drugs
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Heroin (intravenous)

5

IX.s Botulism (foodborne-, wound-)

3
Last update : 31/10/2016
 
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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
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
5
Heroin (inhaled, insufflated, snorted)
4
Methadone
5
Opiates - Opioids - Opium
5

Publications

A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle Weakness.
Case reports in critical care 2017;2017;7941715 2017
Images in clinical medicine: Wound botulism.
The New England journal of medicine 2010 Dec 16;363;2444 2010 Dec 16
A 38-year-old woman with heroin addiction, ptosis, respiratory failure, and proximal myopathy.
Chest 2008 Oct;134;867-870 2008 Oct

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