The Drug-Induced Respiratory Disease Website

Nitrofurantoin

Eosinophilic pleural effusion

(Pleural eosinophilie >10%). Peripheral eosinophilia, eosinophilic pleuritis, eosinophilic pneumonia and/or BAL eosinophilia can be present as associated features. See PMID 10424528, 12806236

Publications

Kalomenidis I, Light RW

Eosinophilic pleural effusions.

Current opinion in pulmonary medicine 2003 Jul;9;254-60 — 2003 Jul — 254-60

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment

Diagnosing DIRD

Identify causative drugs

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