Ashwagandha-induced acute liver injury: A case report

Timeline of Ashwagandha-Induced Acute Liver Injury Student’s Name: Department: Corse Name: Professor’s Name Date: -400050457200Patient travels to Mediterranean SeaExperiences herpes labialis (cold sore), treated with acyclovir00Patient travels to Mediterranean SeaExperiences herpes labialis (cold sore), treated with acyclovirTimeline of Ashwagandha-Induced Acute Liver Injury 1828800266700217170095253 Months Before Hospital Admission003 Months Before Hospital Admission 45243754731385Discharged from hospital in good conditionReceived only symptomatic treatment with cholestyramine for itching00Discharged from hospital in good conditionReceived only symptomatic treatment with cholestyramine for itching4666615473710Begins taking ashwagandha herbal extract for "troubled thoughts"00Begins taking ashwagandha herbal extract for "troubled thoughts"426719990170000-6953251092835Starts experiencing:Weight loss (3 kg in 3 weeks)Diarrhea (about 4 times/day)Pale stoolDark urineStops taking ashwagandha00Starts experiencing:Weight loss (3 kg in 3 weeks)Diarrhea (about 4 times/day)Pale stoolDark urineStops taking ashwagandha197167457708790018288013894455004352925702818000428625049968140042290992905761001771650196087900215265035896554 Days After Admission04 Days After Admission21431252618105Day of Hospital Admission00Day of Hospital Admission217170016275052 Weeks Before Hospital Admission002 Weeks Before Hospital Admission21621756559554 Weeks Before Hospital Admission004 Weeks Before Hospital Admission46101006799581All liver tests return to normalLiver stiffness back to reference range (4.3 kPa)00All liver tests return to normalLiver stiffness back to reference range (4.3 kPa)-8477255551804Liver parameters mostly normalizedSlight elevation of total bilirubin remains (1....