A Severe Autoimmune-like Anti-Tuberculosis Drug-induced Liver Injury: Case Report and Review

Authors : Jorge R MOSQUEİRA, Sue ANİCAMA, Jorge DE LOS RÍOS

Pages : 128-134

Doi:10.5799/jmid.458463

View : 10 | Download : 4

Publication Date : 2018-09-15

Article Type : Other Papers

Abstract :Drug-induced liver injury is one of the most significant adverse drugs reactions and, in severe cases, could be a potentially life-threatening condition. It can be classified in intrinsic and idiosyncratic reactions and, anti-tuberculous drugs are known to induce the later one. In some cases, it might develop some autoimmune features which represent a challenge for both diagnosis and treatment. We report a 37-year-old woman who was admitted to our hospital with signs of severe acute liver injury. She was diagnosed with autoimmune-like drug-induced liver injury by anti-tuberculous drugs and was treated with corticosteroids, N-Acetylcysteine and Ursodesoxycholic acid. Indeed, based on this case a review of the literature is presented. J Microbiol Infect Dis 2018; 8insert ignore into journalissuearticles values(3);:128-134
Keywords : Anti tuberculous drugs, Corticosteroids, Drug induced Liver Injury, N Acetylcysteine, Tuberculosis