TY - JOUR T1 - Republished: Sertraline-induced hypersensitivity pneumonitis JF - Drug and Therapeutics Bulletin JO - Drug Ther Bull SP - 75 LP - 79 DO - 10.1136/dtb.2019.230724rep VL - 58 IS - 5 AU - Gursharan Virdee AU - John Bleasdale AU - Mohammed Ikramullah AU - Emma Graham-Clarke Y1 - 2020/05/01 UR - http://dtb.bmj.com/content/58/5/75.abstract N2 - In conjunction with BMJ Case Reports, DTB will feature occasional drug-related cases that are likely to be of interest to readers. These will include cases that involve recently marketed drugs for which there is limited knowledge of adverse effects and cases that highlight unusual reactions to drugs that have been marketed for several years.Hypersensitivity pneumonitis (HP), also known as extrinsic allergic alveolitis, is a granulomatous, non-IgE-mediated hypersensitivity reaction of the alveoli and distal bronchioles presenting as an acute, subacute or chronic condition. It is most commonly associated with exposure to extrinsic allergens (eg, avian dust, mould and tobacco) and medications including antiarrhythmics (eg, amiodarone), cytotoxics (eg, methotrexate) and antiepileptics (eg, carbamazepine). Individuals diagnosed with this condition can present with severe hypoxia and respiratory failure. The fundamental principle of management is to remove the causative allergen. Evidence implicating selective serotonin reuptake inhibitors (SSRIs) as a causative agent is limited, and this case report describes a rare clinical presentation of HP associated with sertraline, how it was diagnosed and subsequently treated. It is anticipated that raising awareness of this interaction will assist multidisciplinary teams, managing patients diagnosed with HP, to be more cognisant of sertraline as being an aetiological factor for this condition.This case report describes the clinical presentation of a severe hypersensitivity pneumonitis (HP) associated with a frequently prescribed selective serotonin re-uptake inhibitor (sertraline), its diagnosis and subsequent management. It is anticipated that raising awareness of this interaction will assist multidisciplinary teams managing patients diagnosed with HP, to be more cognisant of sertraline as being an aetiological factor for this disease.On 31 July 2018, a 47-year-old Caucasian female (78 kg) presented to the Accident and Emergency (A&E) department with shortness of breath, right-sided pleuritic chest pain and a productive cough. Her medical history revealed she suffered from severe … ER -