A Rare Case of Propofol-induced Liver Injury during Modified Electroconvulsive Therapy in an Elderly Woman

A 75-year-old woman developed depression in 2010 and was treated with oral medications at our Department of Psychiatry. Since she showed no tendency toward improvement, she underwent modified electroconvulsive therapy (mECT). Later, she developed severe liver injury that was presumably induced by th...

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Veröffentlicht in:Internal Medicine 2013, Vol.52(7), pp.761-765
Hauptverfasser: Asai, Akira, Yagi, Mai, Tsuchimoto, Yusuke, Fukunishi, Shinya, Takeshita, Atsushi, Tsuda, Yasuhiro, Fukuda, Akira, Higuchi, Kazuhide
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container_end_page 765
container_issue 7
container_start_page 761
container_title Internal Medicine
container_volume 52
creator Asai, Akira
Yagi, Mai
Tsuchimoto, Yusuke
Fukunishi, Shinya
Takeshita, Atsushi
Tsuda, Yasuhiro
Fukuda, Akira
Higuchi, Kazuhide
description A 75-year-old woman developed depression in 2010 and was treated with oral medications at our Department of Psychiatry. Since she showed no tendency toward improvement, she underwent modified electroconvulsive therapy (mECT). Later, she developed severe liver injury that was presumably induced by the propofol used for mECT. Propofol is an intravenous anesthetic agent that reportedly can be used relatively safely in the presence of liver dysfunction. We herein report the first case of propofol-induced liver injury definitively diagnosed based on positive drug lympocyte stimulation testing (DLST).
doi_str_mv 10.2169/internalmedicine.52.9089
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subjects Aged
Chemical and Drug Induced Liver Injury - blood
Chemical and Drug Induced Liver Injury - diagnosis
Electroconvulsive Therapy - adverse effects
Female
Humans
liver injury
modified electroconvulsive therapy
propofol
Propofol - adverse effects
title A Rare Case of Propofol-induced Liver Injury during Modified Electroconvulsive Therapy in an Elderly Woman
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