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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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Marijuana, cannabis (haschish, hash, bang, dab)

5

VII.h Pneumomediastinum

5

PMID 34479899

Last update : 19/09/2021
 
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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
Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)
5
Cannabis oil, paste, resin-H oil-Cannabidiol (inhaled)
1
E-cigarette - E-vaporizers - ENDS - Vaping - Dabbing
5
Talc (inhaled, sniffed, i.v., intrapleural)
3
Tobacco smoke - Cigarette smoking
5

Publications

Marijuana induced spontaneous pneumomediastinum.
Journal of community hospital internal medicine perspectives 2021 Jun 21;11;516-517 2021 Jun 21
Pneumomediastinum in marijuana users: a retrospective review of 14 cases.
BMJ open respiratory research 2019;6;e000391 2019
Spontaneous pneumomediastinum: analysis of 62 consecutive adult patients.
Mayo Clinic proceedings 2009 May;84;417-21 2009 May

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