Kesavarapu Keerthana, Kang Mitchell, Shin Jaewook James, Rothstein Kenneth
Department of Internal Medicine, Drexel University Hospital, Philadelphia, PA, USA.
Drexel School of Medicine, Philadelphia, PA, USA.
Case Rep Gastrointest Med. 2017;2017:3540756. doi: 10.1155/2017/3540756. Epub 2017 Oct 24.
We present a case of acute fulminant liver failure from a liver detoxification tea. We present a 60-year-old female with weakness, lethargy, scleral icterus, jaundice, and worsening mental status. She drank herbal tea three times a day for 14 days prior to symptom development. Liver tests were elevated. Remaining laboratory tests and imaging were negative for other etiologies. An ultrasound-guided liver biopsy showed submassive necrosis. A literature search on the ingredients shows six ingredients as having hepatotoxic effects and remaining ingredients as having very sparse hepatoprotective data. Healthcare professionals should discuss herbal medication and tea use and report adverse effects.
我们报告一例因饮用肝脏排毒茶导致急性暴发性肝衰竭的病例。我们接诊了一名60岁女性,她出现乏力、嗜睡、巩膜黄疸、黄疸以及精神状态恶化。在症状出现前14天,她每天饮用三次草药茶。肝功能检查指标升高。其余实验室检查和影像学检查未发现其他病因。超声引导下肝活检显示亚大块坏死。对该茶成分的文献检索表明,其中六种成分具有肝毒性作用,其余成分的肝脏保护数据非常稀少。医疗保健专业人员应讨论草药药物和茶的使用情况,并报告不良反应。