Homeopathy-medicine induced severe alcoholic hepatitis
We present a teetotaler with compensated non-alcoholic fatty-liver-disease related cirrhosis who presented with acute worsening of his chronic liver disease. The acute event was not discernible even after extensive work up and finally a transjugular liver biopsy revealed features suggestive of sever...
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| Veröffentlicht in: | BMJ case reports 2019-05, Vol.12 (5), p.e229627 |
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| creator | Philips, Cyriac Abby Augustine, Philip Paramaguru, Rajaguru Ahamed, Rizwan |
| description | We present a teetotaler with compensated non-alcoholic fatty-liver-disease related cirrhosis who presented with acute worsening of his chronic liver disease. The acute event was not discernible even after extensive work up and finally a transjugular liver biopsy revealed features suggestive of severe alcoholic hepatitis. The patient and the family denied occult alcohol use when questioned over multiple times and finally, the culprit ‘alcohol’ was found to be the homoeopathy medicines that the patient was consuming over a month for treatment of Gilbert’s syndrome. We retrieved and tested the homoeopathy drug for alcohol content and found an alarming 18% ethanol in the same, confirming our diagnosis. |
| doi_str_mv | 10.1136/bcr-2019-229627 |
| format | Article |
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The acute event was not discernible even after extensive work up and finally a transjugular liver biopsy revealed features suggestive of severe alcoholic hepatitis. The patient and the family denied occult alcohol use when questioned over multiple times and finally, the culprit ‘alcohol’ was found to be the homoeopathy medicines that the patient was consuming over a month for treatment of Gilbert’s syndrome. We retrieved and tested the homoeopathy drug for alcohol content and found an alarming 18% ethanol in the same, confirming our diagnosis.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2019-229627</identifier><identifier>PMID: 31142491</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Alcohol Abstinence ; Alcohol use ; Alternative medicine ; Blood tests ; Case reports ; Chronic illnesses ; Drugs ; Ethanol - adverse effects ; Ethanol - analysis ; Gallbladder diseases ; Gilbert Disease - drug therapy ; Hepatitis ; Hepatitis, Alcoholic - diagnosis ; Hepatitis, Alcoholic - etiology ; Histopathology ; Homeopathic medicine ; Homeopathy - adverse effects ; Humans ; Hyperbilirubinemia - drug therapy ; Liver cirrhosis ; Liver Cirrhosis - complications ; Liver diseases ; Male ; Materia Medica - adverse effects ; Materia Medica - chemistry ; Non-alcoholic Fatty Liver Disease - complications ; Obesity - complications ; Patients ; Public health ; Systematic review ; Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions ; Viral infections</subject><ispartof>BMJ case reports, 2019-05, Vol.12 (5), p.e229627</ispartof><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b456t-7772c5bf1add41163552b4600f8c9256ab86434f118be96978f011813fb00c053</citedby><cites>FETCH-LOGICAL-b456t-7772c5bf1add41163552b4600f8c9256ab86434f118be96978f011813fb00c053</cites><orcidid>0000-0002-9587-336X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6557352/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6557352/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31142491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Philips, Cyriac Abby</creatorcontrib><creatorcontrib>Augustine, Philip</creatorcontrib><creatorcontrib>Paramaguru, Rajaguru</creatorcontrib><creatorcontrib>Ahamed, Rizwan</creatorcontrib><title>Homeopathy-medicine induced severe alcoholic hepatitis</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>We present a teetotaler with compensated non-alcoholic fatty-liver-disease related cirrhosis who presented with acute worsening of his chronic liver disease. The acute event was not discernible even after extensive work up and finally a transjugular liver biopsy revealed features suggestive of severe alcoholic hepatitis. The patient and the family denied occult alcohol use when questioned over multiple times and finally, the culprit ‘alcohol’ was found to be the homoeopathy medicines that the patient was consuming over a month for treatment of Gilbert’s syndrome. 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Augustine, Philip ; Paramaguru, Rajaguru ; Ahamed, Rizwan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b456t-7772c5bf1add41163552b4600f8c9256ab86434f118be96978f011813fb00c053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Alcohol Abstinence</topic><topic>Alcohol use</topic><topic>Alternative medicine</topic><topic>Blood tests</topic><topic>Case reports</topic><topic>Chronic illnesses</topic><topic>Drugs</topic><topic>Ethanol - adverse effects</topic><topic>Ethanol - analysis</topic><topic>Gallbladder diseases</topic><topic>Gilbert Disease - drug therapy</topic><topic>Hepatitis</topic><topic>Hepatitis, Alcoholic - diagnosis</topic><topic>Hepatitis, Alcoholic - etiology</topic><topic>Histopathology</topic><topic>Homeopathic medicine</topic><topic>Homeopathy - adverse effects</topic><topic>Humans</topic><topic>Hyperbilirubinemia - drug therapy</topic><topic>Liver cirrhosis</topic><topic>Liver Cirrhosis - complications</topic><topic>Liver diseases</topic><topic>Male</topic><topic>Materia Medica - adverse effects</topic><topic>Materia Medica - chemistry</topic><topic>Non-alcoholic Fatty Liver Disease - complications</topic><topic>Obesity - complications</topic><topic>Patients</topic><topic>Public health</topic><topic>Systematic review</topic><topic>Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions</topic><topic>Viral infections</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Philips, Cyriac Abby</creatorcontrib><creatorcontrib>Augustine, Philip</creatorcontrib><creatorcontrib>Paramaguru, Rajaguru</creatorcontrib><creatorcontrib>Ahamed, Rizwan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Philips, Cyriac Abby</au><au>Augustine, Philip</au><au>Paramaguru, Rajaguru</au><au>Ahamed, Rizwan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Homeopathy-medicine induced severe alcoholic hepatitis</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>12</volume><issue>5</issue><spage>e229627</spage><pages>e229627-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>We present a teetotaler with compensated non-alcoholic fatty-liver-disease related cirrhosis who presented with acute worsening of his chronic liver disease. The acute event was not discernible even after extensive work up and finally a transjugular liver biopsy revealed features suggestive of severe alcoholic hepatitis. The patient and the family denied occult alcohol use when questioned over multiple times and finally, the culprit ‘alcohol’ was found to be the homoeopathy medicines that the patient was consuming over a month for treatment of Gilbert’s syndrome. We retrieved and tested the homoeopathy drug for alcohol content and found an alarming 18% ethanol in the same, confirming our diagnosis.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>31142491</pmid><doi>10.1136/bcr-2019-229627</doi><orcidid>https://orcid.org/0000-0002-9587-336X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Alcohol Abstinence Alcohol use Alternative medicine Blood tests Case reports Chronic illnesses Drugs Ethanol - adverse effects Ethanol - analysis Gallbladder diseases Gilbert Disease - drug therapy Hepatitis Hepatitis, Alcoholic - diagnosis Hepatitis, Alcoholic - etiology Histopathology Homeopathic medicine Homeopathy - adverse effects Humans Hyperbilirubinemia - drug therapy Liver cirrhosis Liver Cirrhosis - complications Liver diseases Male Materia Medica - adverse effects Materia Medica - chemistry Non-alcoholic Fatty Liver Disease - complications Obesity - complications Patients Public health Systematic review Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions Viral infections |
| title | Homeopathy-medicine induced severe alcoholic hepatitis |
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