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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Hydrocarbons (petrochemicals: petroleum, petrolatum, paraffin, vaseline, naphta, jet fuel (kerosene), Diesel, gasoil), ointments, salad oil, variegated oils, butter). Aspirated

5

I.ag Fire-eater's lung/pneumonitis

5
Last update : 13/02/2022
 
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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
Kerdane
5
Paraffin-Vaseline-Oil-Lipids (Mineral or other) p.o./inhaled/aspirated
5

Publications

Acute respiratory distress syndrome after aspiration of lamp oil in a fire-eater: a case report.
Journal of medical case reports 2016 Jul 07;10;193 2016 Jul 07
Fire eater's lung: retrospective analysis of 123 cases reported to a National Poison Center.
Respiration; international review of thoracic diseases 2014;87;98-104 2014
Fire eater's pneumonia: radiographic and CT findings.
Journal of computer assisted tomography 2000;24;448-50 2000

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