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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)

5

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

1
Last update : 07/07/2018
 
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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
Adulterants, contaminants, cutting agents
4
Anticoagulants, oral (vitamin K antagonists-VKA)
5
Brodifacoum
4
Herbals (fumigated, inhaled)
1
Marijuana, cannabis (haschish, hash, bang, dab)
5
Opiates - Opioids - Opium
5
Opioids (synthetic)
5
Rodenticides
4

Publications

From Euphoria to Emergency: Exploring the Role of K2/Spice in Diffuse Alveolar Hemorrhage.
Cureus 2023 Jul;15;e41887 2023 Jul
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

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