DOI: 10.36347/sjmcr.2016.v04i02.008

Pages: 80-82

Aim of this case report is to show a unique case of transient hepatotoxicity developed after 51 days weight-diet protocol with 4 glasses of green tea. A young girl (22) was brought at the Clinic presented with fatigue, nausea, pain in the liver. The symptoms began 2 days prior the admission. We learned a fact, that she was finishing the III round of the 17 day green tea diet. During this health regime she didn’t have any health issues. Physical exam showed jaundice and a discreet pain under the right costal varnish. Initial labs included elevations in the serum aminotransferase levels (aspartate aminotransferase 344; alanine aminotransferase 288) serum bilirubin total 48; bilirubin direct 28; factor VII 66%. Because of the suspicion that the green tea is responsible for the hepatotoxicity, we stopped its intake immediately. The patient refused a liver biopsy. The controlled analysis that we performed 7 days on ongoing treatment showed a significant bilirubin decrees, a normalization of VII 7, and a discreet decrees of AST and LM.The control lab analysis we took after a month of initial treatment showed a complete normalization of the lab parameters. Three weeks after the normalization of the labs, the patient came to our clinic once again, with similar symptoms, but without the jaundicing. During the exam she admitted that she took green tea, the previous two days, in the morning prior breakfast. The lab showed a mild elevation in the AST 44 and ALT 48.