The Drug-Induced Respiratory Disease Website

Acupuncture

Purulent pericardial effusion

Yamaguchi H, Nagasaki K, Kobayashi H

Purulent Pericarditis Due to Pneumococcal Bacteremia Caused by Acupuncture: An Autopsy Case Report.

Internal medicine (Tokyo, Japan) 2023 Mar 15;62;939-943 — 2023 Mar 15 — 939-943

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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