A medicinal liver injury with an immunomodulatory drug of natural origin. Case report

As practice shows, there are many alternative drugs that cause drug damage to the liver. A case of medicinal damage to the liver with an immunomodulatory herbal preparation Immunostimulating collection, which included St. John's wort, Elecampane, Kopeichnik, Echinacea, Licorice, Rosehip, is pre...

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Autores principales:	Elena V. Reznik, Denis V. Yudin, Yulia Y. Gudilova, Irina E. Baikova, Sofya E. Karmanova, Igor G. Nikitin
Formato:	article
Lenguaje:	RU
Publicado:	"Consilium Medicum" Publishing house 2021
Materias:	drug-induced liver injury drug hepatitis acute hepatitis Medicine R
Acceso en línea:	https://doaj.org/article/04fe89c2cbb8431bbab7ac789764dfa8
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spelling	oai:doaj.org-article:04fe89c2cbb8431bbab7ac789764dfa82021-12-01T12:22:36ZA medicinal liver injury with an immunomodulatory drug of natural origin. Case report0040-36602309-534210.26442/00403660.2021.08.200975https://doaj.org/article/04fe89c2cbb8431bbab7ac789764dfa82021-08-01T00:00:00Zhttps://ter-arkhiv.ru/0040-3660/article/viewFile/79545/60161https://doaj.org/toc/0040-3660https://doaj.org/toc/2309-5342As practice shows, there are many alternative drugs that cause drug damage to the liver. A case of medicinal damage to the liver with an immunomodulatory herbal preparation Immunostimulating collection, which included St. John's wort, Elecampane, Kopeichnik, Echinacea, Licorice, Rosehip, is presented. A 39-year-old patient came to the clinic with complaints of yellowing of the skin, whites of the eyes, heaviness in the epigastrium after eating, lightening of feces, dark urine, sour taste in the mouth, bloating, pruritus, decreased appetite, pronounced general weakness, drowsiness 10 days after you start taking herbal immunostimulant. The diagnosis of drug damage to the liver was made taking into account the history and laboratory parameters, since the patient had negative markers of viral hepatitis and increasing of biochemical blood tests: alanine transferase up to 2800 U/l (norm up to 32 U/L), aspartate transferase up to 1776 U/l (norm up to 31 U/l), total bilirubin up to 577 U/l (norm up to 21 U/l), direct bilirubin up to 116 U/l (norm up to 4.3 U/l), alkaline phosphatase up to 112 U/l (norm up to 98 U/l). After the withdrawal of the immunomodulator and the appointment of therapy, including diet, enzyme replacement therapy, drugs clinical and laboratory manifestations of liver drug damage completely disappeared. This confirms the leading role of the immunoactive drug, which the patient took in the toxic effect on the liver.Elena V. ReznikDenis V. YudinYulia Y. GudilovaIrina E. BaikovaSofya E. KarmanovaIgor G. Nikitin"Consilium Medicum" Publishing housearticledrug-induced liver injurydrug hepatitisacute hepatitisMedicineRRUТерапевтический архив, Vol 93, Iss 8, Pp 932-935 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	drug-induced liver injury drug hepatitis acute hepatitis Medicine R
spellingShingle	drug-induced liver injury drug hepatitis acute hepatitis Medicine R Elena V. Reznik Denis V. Yudin Yulia Y. Gudilova Irina E. Baikova Sofya E. Karmanova Igor G. Nikitin A medicinal liver injury with an immunomodulatory drug of natural origin. Case report
description	As practice shows, there are many alternative drugs that cause drug damage to the liver. A case of medicinal damage to the liver with an immunomodulatory herbal preparation Immunostimulating collection, which included St. John's wort, Elecampane, Kopeichnik, Echinacea, Licorice, Rosehip, is presented. A 39-year-old patient came to the clinic with complaints of yellowing of the skin, whites of the eyes, heaviness in the epigastrium after eating, lightening of feces, dark urine, sour taste in the mouth, bloating, pruritus, decreased appetite, pronounced general weakness, drowsiness 10 days after you start taking herbal immunostimulant. The diagnosis of drug damage to the liver was made taking into account the history and laboratory parameters, since the patient had negative markers of viral hepatitis and increasing of biochemical blood tests: alanine transferase up to 2800 U/l (norm up to 32 U/L), aspartate transferase up to 1776 U/l (norm up to 31 U/l), total bilirubin up to 577 U/l (norm up to 21 U/l), direct bilirubin up to 116 U/l (norm up to 4.3 U/l), alkaline phosphatase up to 112 U/l (norm up to 98 U/l). After the withdrawal of the immunomodulator and the appointment of therapy, including diet, enzyme replacement therapy, drugs clinical and laboratory manifestations of liver drug damage completely disappeared. This confirms the leading role of the immunoactive drug, which the patient took in the toxic effect on the liver.
format	article
author	Elena V. Reznik Denis V. Yudin Yulia Y. Gudilova Irina E. Baikova Sofya E. Karmanova Igor G. Nikitin
author_facet	Elena V. Reznik Denis V. Yudin Yulia Y. Gudilova Irina E. Baikova Sofya E. Karmanova Igor G. Nikitin
author_sort	Elena V. Reznik
title	A medicinal liver injury with an immunomodulatory drug of natural origin. Case report
title_short	A medicinal liver injury with an immunomodulatory drug of natural origin. Case report
title_full	A medicinal liver injury with an immunomodulatory drug of natural origin. Case report
title_fullStr	A medicinal liver injury with an immunomodulatory drug of natural origin. Case report
title_full_unstemmed	A medicinal liver injury with an immunomodulatory drug of natural origin. Case report
title_sort	medicinal liver injury with an immunomodulatory drug of natural origin. case report
publisher	"Consilium Medicum" Publishing house
publishDate	2021
url	https://doaj.org/article/04fe89c2cbb8431bbab7ac789764dfa8
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A medicinal liver injury with an immunomodulatory drug of natural origin. Case report

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