Journal article
Severe Liver and Renal Injury From Tribulus Terrestris
ACG case reports journal, v 11(2), 01267
01 Feb 2024
PMID: 38328764
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Tribulus terrestris is a shrub that is found worldwide. Although it has been linked to severe jaundice and death in grazing animals, there are only a few case reports of hepatotoxicity in humans. We describe a case of a 46-year-old man who took tribulus supplements daily for 2 months. He developed severe jaundice prompting hospital admission. His total bilirubin peaked at 48 mg/dL, with concomitant renal dysfunction (creatinine of 7.1). His liver biopsy showed features consistent with drug-induced liver injury. He was initiated on a trial of plasmapheresis and underwent 3 sessions with a subsequent decrease in bilirubin with each session. He had appropriate renal recovery and was discharged home and on follow-up, continues to do well with most recent bilirubin of 1.1 mg/dL.
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Details
- Title
- Severe Liver and Renal Injury From Tribulus Terrestris
- Creators
- Nabeeha Mohy-ud-din - University of Pittsburgh Medical CenterNaudia Jonassaint - University of Pittsburgh Medical Center
- Publication Details
- ACG case reports journal, v 11(2), 01267
- Publisher
- Wolters Kluwer
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- General Internal Medicine
- Web of Science ID
- WOS:001156919100001
- Other Identifier
- 991022076700904721
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- Web of Science research areas
- Gastroenterology & Hepatology