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[Toxic hepatitis associated with carp juice ingestion]
Hye Suk Son1, Guil Sun Kim, Seung Woo Lee
1Department of Internal Medicine, Daejeon St. Mary's Hospital Medical College of the Catholic University of Korea.
The Korean Journal of Hepatology
|March 28, 2006
Summary
Ingesting carp juice can cause toxic hepatitis, a liver injury, without affecting the kidneys. Prompt supportive care led to rapid recovery in a patient who consumed carp juice for three months.
Area of Science:
- Hepatology
- Toxicology
- Gastroenterology
Background:
- The potential liver toxicity of traditional remedies and health foods is often overlooked.
- While raw carp bile ingestion has been linked to toxic hepatitis and renal failure, less is known about carp juice.
Observation:
- A patient presented with nausea and vomiting after consuming carp juice for three months.
- The clinical presentation suggested a liver injury without evidence of kidney damage.
Findings:
- Diagnosis of toxic hepatitis was confirmed using patient history, laboratory results, Russel Uclaf Causality Assessment (RUCAM), and liver biopsy.
- The patient experienced a rapid improvement following supportive medical treatment.
Implications:
- This case highlights the potential hepatotoxicity of carp juice, a less-documented cause of liver injury.
- It underscores the importance of considering dietary factors, including traditional remedies, in the differential diagnosis of toxic hepatitis.
- Prompt diagnosis and supportive care are crucial for managing carp juice-induced liver injury.
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