The Drug-Induced Respiratory Disease Website

Adrenaline (epinephrine)

Wandering pacemaker

Aburawi EH, Narchi H, Souid AK

Persistent wandering atrial pacemaker after epinephrine overdosing - a case report.

BMC pediatrics 2013 Jan 02;13;1 — 2013 Jan 02 — 1

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

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