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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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  • Drugs
  • Patterns

Abused drugs/substances (illicit-, street drugs - IV/inhaled)

5

III.a Alveolar hemorrhage (AH), diffuse AH (DAH)

2
Last update : 13/04/2012
 
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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
Amphetamine (and -derivatives)
3
Amyl-nitrite, butyl-nitrite, isobutyl-nitrite ('Poppers')
4
Antidotes
1
Body packing
4
Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)
5
Cathinones, synthetic ('Bath salts')
5
Cocaine
5
Crack cocaine
5
E-cigarette - E-vaporizers - ENDS - Vaping - Dabbing
5
E-cigarette's, e-vaporizer's secondhand vapor (Passive vaping)
1
Excipients-Vehicle-Preservatives (of drugs)
5
Heroin (inhaled, insufflated, snorted)
4
Heroin (intravenous)
5
Inhalants (volatile substances)
5
Marijuana, cannabis (haschish, hash, bang, dab)
5
Methadone
5
Opiates - Opioids - Opium
5
Recreational drugs
5
Sniffed drugs (opioids, acetaminophen)
5
Talc (inhaled, sniffed, i.v., intrapleural)
3
Warfarin
5

Publications

A new side effect of synthetic cannabinoid use by the bucket (waterpipe) method: Acute respiratory distress syndrome (ARDS).
Turkish journal of emergency medicine 2018 Mar;18;42-44 2018 Mar
Diffuse alveolar hemorrhage in immunocompetent patients: etiologies and prognosis revisited.
Respiratory medicine 2012 Jul;106;1021-32 2012 Jul
[Fatal alveolar haemorrhage following a "bang" of cannabis].
Revue des maladies respiratoires 2011 Sep;28;919-23 2011 Sep
Association of pulmonary histopathological findings with toxicological findings in forensic autopsies of illicit drug users.
Vojnosanitetski pregled 2011 Aug;68;639-42 2011 Aug
Pulmonary hemorrhage: a rare complication of opioid overdose.
Pediatric emergency care 2011 Aug;27;742-4 2011 Aug
Silicone pulmonary embolism: report of 10 cases and review of the literature.
Journal of computer assisted tomography 2009;33;233-7 2009

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