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Related Experiment Videos

[Chronic active hepatitis caused by nitrofurantoin: a case report].

H C Burger, J L Meiring, P J Nel

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |January 26, 1985
    PubMed
    Summary

    Nitrofurantoin can cause chronic active hepatitis. This 79-year-old patient recovered after stopping the drug, highlighting the need for liver function tests during intermittent nitrofurantoin use.

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    Area of Science:

    • Hepatology
    • Pharmacology
    • Internal Medicine

    Background:

    • Nitrofurantoin is a common antibiotic used for urinary tract infections.
    • Drug-induced liver injury (DILI) is a potential adverse effect of many medications.
    • Chronic active hepatitis is a long-term inflammatory liver condition.

    Observation:

    • A 79-year-old female patient developed chronic active hepatitis.
    • The condition was linked to the use of nitrofurantoin.
    • The patient's liver function normalized after discontinuing nitrofurantoin.

    Findings:

    • This case demonstrates nitrofurantoin as a potential cause of chronic active hepatitis.
    • Spontaneous recovery occurred upon drug withdrawal, suggesting a causal relationship.

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  • Liver function tests are crucial for monitoring patients on intermittent nitrofurantoin therapy.
  • Implications:

    • Clinicians should consider nitrofurantoin-induced liver injury in patients presenting with hepatitis.
    • Regular monitoring of liver function is recommended for individuals on intermittent nitrofurantoin treatment.
    • Early detection and drug withdrawal can lead to favorable patient outcomes.