Ferreira Inês, Gouveia Cláudio, Vasques Carolina, Faria Catarina, Pedroso Ana
Internal Medicine, Hospital São Francisco Xavier, Lisboa, PRT.
Cureus. 2020 Dec 23;12(12):e12234. doi: 10.7759/cureus.12234.
Drug-induced liver injury (DILI) has a relatively low incidence, and as it is a diagnosis of exclusion, it can become quite a challenge for the clinician. Amoxicillin/clavulanate continues to be one of the most prescribed antibiotics and only rarely causes liver injury. We report a case of DILI associated with this antibiotic to bring attention to a rare side effect of a very commonly prescribed drug. This is the case of a 71-year-old man, with no relevant past medical history, who presented to the Emergency Department due to jaundice in the previous two weeks, with no immediate identifiable cause. The patient was admitted to our Internal Medicine Ward, and after getting a detailed clinical history and excluding other common and severe causes of liver injury, the diagnosis was made that liver injury was due to amoxicillin/clavulanate intake, thus demonstrating the importance of an in-depth history.
药物性肝损伤(DILI)的发病率相对较低,由于其是一种排除性诊断,对临床医生来说可能颇具挑战。阿莫西林/克拉维酸仍然是最常处方的抗生素之一,仅极少引起肝损伤。我们报告一例与该抗生素相关的药物性肝损伤病例,以引起对一种非常常用药物罕见副作用的关注。这是一名71岁男性患者,既往无相关病史,因前两周出现黄疸前来急诊科就诊,当时无直接可识别的病因。患者入住我们的内科病房,在获取详细的临床病史并排除其他常见和严重的肝损伤原因后,诊断为肝损伤是由于服用阿莫西林/克拉维酸所致,从而证明了详细病史的重要性。