Bitki çayı Teucrium chamaedrys alımına bağlı gelişen bir akut hepatit olgusu

Öz

Türkiye’de bitkisel tedavilere bağlı toksik bulgulara pek sık rastlanmamaktadır. Olgumuz 33 yaşında bir bayan hastadır. Sarılık şikayeti ile başvuran olgunun yaklaşık iki haftadır, her gün Teucrium chamaedrys bitkisini içeren bir çayı aldığı öğrenilmiştir. Hastada akut ikterik hepatit bulguları saptanmış ve akut hepatit yapabilecek başka bir neden tespit edilememiştir. T. chamaedrys alımı sonlandırılıp takip edilen hastada klinik iyileşme izlenmiş ve yaklaşık dokuz hafta içinde serum bilirubin, aminotransferaz, alkalen fosfataz düzeyleri normal sınırlara düşmüştür. Bu olgu T. chamaedrys alımının akut ikterik hepatite neden olabileceği, klinik olarak akut viral hepatitleri taklit edebileceği ve bitkisel tedavilerin genel olarak kabul edildiği kadar güvenli olmadığını göstermektedir

Anahtar Kelimeler

• Bitkisel tedavi, Teucrium chamaedrys, hepatit

A case: Acute hepatitis associated with herbal Teucrium chamaedrys ingestion

Öz

Herbal medicine toxicity has been infrequently reported in Turkey. Our case describes a 33- year-old woman who applied with jaundice. She acknowledged that she was taking daily a tea containing the plant Teucrium chamaedrys for two weeks. It was determined she had symptoms of acute icteric hepatitis. Other causes of acute hepatitis were excluded. After T. chamaedrys was not taken anymore by the patient, she recovered clinically and her serum bilirubin, aminotransferases and alkaline phosphatase values returned to normal levels within 9-weeks. This case suggests that T. chamaedrys intake may cause acute icteric hepatitis which might clinically mimic acute viral hepatitis, and it shows that herbal medicines are not as safe as they have been generally assumed

Anahtar Kelimeler

• Herbal treatment, Teucrium chamaedrys, hepatitis

Kaynakça

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12. Refik Saydam Hıfzıssıhha Merkezi Başkanlığı / Refik Saydam National Public Health Agency
13. Türk Hijyen ve Deneysel Biyoloji Dergisi / Turkish Bulletin of Hygiene and Experimental Biology
14. Yayın ve Dokümantasyon Müdürlüğü / Department of Publication and Documentation Sağlık Mah. Adnan Saygun Cad. No: 55 06100 Sıhhiye-ANKARA-TURKEY
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