title: [A case of drug-induced pneumonitis caused by saikokeishikankyoto].
abstract: We report a case of drug-induced pneumonitis caused by saikokeishikankyoto. A 68-year-old woman was admitted to our hospital complaining of dry cough, fever, and dyspnea after taking saikokeishikankyoto for 16 days. A chest radiograph showed widespread ground-glass shadows in both lung fields. Chest CT showed ground-glass opacities and thickening of the interlobular septum in both lung fields. Bronchoalveolar lavage fluids and transbronchial lung biopsy specimen showed findings consistent with drug-induced pneumonitis, therefore we diagnosed drug-induced pneumonitis caused by saikokeishikankyoto. Three years previously she had suffered from a similar illness after taking hangeshashinto. Ougon is suspected to be a causative component for her saikokeishikankyoto-induced pneumonitis, because it has been reported to be as a main cause for kampo-induced pneumonitis.
authors.affiliation: Department of Respiratory Medicine, Japan-antituberculosis Association Fukujuji Hospital.
authors.forename: Yohhei
authors.initials: Y
authors.lastname: Imai
authors.forename: Kozo
authors.initials: K
authors.lastname: Morimoto
authors.forename: Kouzou
authors.initials: K
authors.lastname: Yoshimori
authors.forename: Atsuyuki
authors.initials: A
authors.lastname: Kurashima
authors.forename: Hideo
authors.initials: H
authors.lastname: Ogata
authors.forename: Shoji
authors.initials: S
authors.lastname: Kudoh
mesh_terms: D000368:Aged; D004365:Drugs, Chinese Herbal / Q000009:adverse effects*; D005260:Female; D006801:Humans; D010936:Plant Extracts; D011014:Pneumonia / Q000139:chemically induced*; D031364:Scutellaria baicalensis
chemical_list: D004365:Drugs, Chinese Herbal; D010936:Plant Extracts; C109936:Saiko-Keishi-Kankyoto; C499814:Scutellaria baicalensis extract