The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;75(5):564-568.
증례: 알벤다졸(400 mg) 1회 복용에 의해 유발된 급성 독성간염 1예
김민관.박혜원.김원진.박철민.홍지연.조성진.장명국 , , , , , ,
A case of acute drug-induced hepatotoxicity after albendazole treatment
Min Kwan Kim, Hye Won Park, Won Jin Kim, Chul Min Park, Ji Yeon Hong, Seung Jin Cho, Myoung Kuk Jang
경희대학교 의과대학 순환기내과학교실


Abstract
Drug-induced hepatotoxicity is injury to the liver as a result of drug exposure. Due to their unpredictable nature, drug-induced liver injuries pose a serious problem for clinicians, health agencies, and pharmaceutical firms. Albendazole is a benzimidazole with wide spectrum coverage as an antiparasitic drug. Very few cases of high-dose albendazole- induced hepatotoxicity have been reported so far, and no case in response to a single dose. A 25-year-old man presented to our hospital with dark urine. Twenty days prior to presentation, he took a tablet of albendazole (400 mg) as a prophylactic treatment for lumbricosis. Upon laboratory analysis, aspartate aminotransferase (AST) was 748 IU/L, alanine transaminase (ALT) was 939 IU/L, and total/direct bilirubin was 9.3/7.3 mg/dL. The patient was negative for viral markers (HAV, HBV, and HCV) and autoantibodies. Abdominal ultrasonography revealed no evidence of chronic liver damage. The pathology was compatible with drug-induced hepatotoxicity. The patient improved with conservative management only. (Korean J Med 75:564-568, 2008)

Keywords :Albendazole, Hepatotoxicity
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