The Drug-Induced Respiratory Disease Website

Left behind gauze, sponge, canvas, fabric (at surgery)

Eye catcher: Gossypiboma - Textiloma

Machado DM, Zanetti G, Araujo Neto CA, Nobre LF, Meirelles GS, Silva JL, Guimarães MD, Escuissato DL, Souza AS, Hochhegger B, Marchiori E

Thoracic textilomas: CT findings.

Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia 2014 10;40;535-42 — 2014 10 — 535-42

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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