Delayed‐Onset Hepatocellular Liver Injury Associated With Nitrofurantoin and Herbal Supplement Use: A Case Report With Multiple Potential Exposures
Edwin Mendoza, Manas Pustake, Jeffrey Annabi, Joshua Torres, Joanna Mendez, Lakshmi Kattamuri, Benjamin Williams, Abhizith Deoker · 2026
Read Delayed‐Onset Hepatocellular Liver Injury Associated With Nitrofurantoin and Herbal Supplement Use: A Case Report With Multiple Potential Exposures by Edwin Mendoza, Manas Pustake, Jeffrey Annabi, Joshua Torres, Joanna Mendez, Lakshmi Kattamuri, Benjamin Williams, Abhizith Deoker (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13282457.txt.
Description
Edwin Mendoza and co-authors describe a 2026 case of delayed liver injury in a woman exposed to two possible liver toxins at once. Nitrofurantoin is a first-line antibiotic for urinary infections that rarely causes severe liver damage. Their patient was a fifty-seven-year-old woman with fatty liver disease who developed sudden yellowing of the skin after a short antibiotic course, while also taking a commercial weight-loss supplement.
Blood tests showed strong liver cell damage, and autoimmune markers were positive, muddying the diagnosis. A liver biopsy showed non-specific inflammation favouring drug injury over autoimmune hepatitis. All suspect substances were stopped, and she received an intravenous antidote-style drug, N-acetylcysteine, urgently, though its benefit in this setting is unproven. The authors argue clinicians should weigh combined exposures when several liver-damaging substances are in play.
Catalog record
| CREATOR | Edwin Mendoza, Manas Pustake, Jeffrey Annabi, Joshua Torres, Joanna Mendez, Lakshmi Kattamuri, Benjamin Williams, Abhizith Deoker |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 22616 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |