One case of fulminant hepatic failure related to Dictamnus dasycarpus.
- Author:
So Yun AN
1
;
Jae Youn CHEONG
;
Soon Sun KIM
;
Da Mi LEE
;
Jae Yeon SEOK
;
Young Bae KIM
;
Sung Won CHO
Author Information
1. Department of Internal Medicine, Ajou University School of Medicine, Suwon, Korea. jaeyoun620@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Dictamnus dasycarpus;
Toxic hepatitis;
Acute liver failure
- MeSH:
Bile Ducts;
Dictamnus;
Drug-Induced Liver Injury;
Hepatitis A;
Humans;
Jaundice;
Liver Failure, Acute;
Water
- From:Korean Journal of Medicine
2010;78(4):490-494
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of fulminant hepatic failure related to ingesting Dictamnus dasycarpus. The patient had taken D. dasycarpus for 8 weeks after boiling down the root of D. dasycarpus in water, to promote health. The main symptoms and signs were general weakness and jaundice. Serology found no evidence of hepatitis A, B, or C infections. Imaging studies, including abdominal ultrasonography and abdominal computed tomography, did not reveal any bile duct structural abnormalities. Based on the RUCAM score (8 points), D. dasycarpus was the probable cause for the drug-induced liver injury. Despite meticulous monitoring and supportive care, the patient died by a progression to fulminant hepatic failure. This case indicates that D. dasycarpus can cause lethal outcomes by fulminant hepatic failure.
