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Sansoninto-induced Lung Injury.

Kosaku Komiya1,2, Marcelo Takahiro Mitsui3, Toru Watanabe3

  • 1Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan.

Internal Medicine (Tokyo, Japan)
|May 15, 2022
PubMed
Summary

This study reports the first case of drug-induced lung injury caused by Sansoninto. Discontinuing the medication led to symptom resolution, confirming the diagnosis.

Keywords:
Chinese herbSansonintodrug-induced pneumonitiskampo

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Area of Science:

  • Pulmonology
  • Pharmacology
  • Toxicology

Background:

  • Drug-induced lung injury (DILI) is a significant concern in clinical practice.
  • Sansoninto, a herbal medication, is used for various conditions.

Observation:

  • A 70-year-old male presented with persistent dyspnea and pulmonary infiltrates.
  • Symptoms were unresponsive to antibiotic treatment.
  • The patient had recently increased his Sansoninto dosage.

Findings:

  • Discontinuation of Sansoninto resulted in gradual symptom improvement and resolution of pulmonary infiltrates.
  • Drug lymphocyte stimulation tests were positive for Sansoninto.
  • The patient was diagnosed with Sansoninto-induced lung injury.

Implications:

  • This case highlights the potential for herbal medications like Sansoninto to cause serious adverse pulmonary events.
  • Early recognition and discontinuation of the offending agent are crucial for managing DILI.
  • Further investigation into the specific components of Sansoninto (sansonin, bukuryo, senkyo, chimo, kanzo) may elucidate the underlying mechanisms of lung injury.