A case of amoxicillin-induced hepatocellular liver injury with bile-duct damage

Korean J Hepatol. 2011 Sep;17(3):229-32. doi: 10.3350/kjhep.2011.17.3.229.

Abstract

Amoxicillin, an antibiotic that is widely prescribed for various infections, is associated with a very low rate of drug-induced liver injury; hepatitis and cholestasis are rare complications. Here we present a case of a 39-year-old woman who was diagnosed with abdominal actinomycosis and received amoxicillin treatment. The patient displayed hepatocellular and bile-duct injury, in addition to elevated levels of liver enzymes. The patient was diagnosed with amoxicillin-induced cholestatic hepatitis. When amoxicillin was discontinued, the patient's symptoms improved and her liver enzyme levels reduced to near to the normal range.

Publication types

  • Case Reports

MeSH terms

  • Actinomycosis / drug therapy
  • Adult
  • Alanine Transaminase / blood
  • Alkaline Phosphatase / blood
  • Amoxicillin / adverse effects*
  • Anti-Bacterial Agents / adverse effects*
  • Aspartate Aminotransferases / blood
  • Chemical and Drug Induced Liver Injury / diagnosis*
  • Chemical and Drug Induced Liver Injury / etiology
  • Cholestasis / chemically induced*
  • Female
  • Humans
  • Liver / enzymology

Substances

  • Anti-Bacterial Agents
  • Amoxicillin
  • Aspartate Aminotransferases
  • Alanine Transaminase
  • Alkaline Phosphatase