title: Cholestatic hepatitis due to Ecballium elaterium ingestion.
abstract: Ecballium elaterium is an herbaceous plant belonging to the Cucurbitaceae family. This plant is fairly common in the Mediterranean regions. It is frequently consumed in infusion, mixture of fruit or even in aerosol in cases of fever or flu. This plant is known for its respiratory and ocular toxicity. Hepatotoxicity has never been described in the literature. We report a case of acute cholestatic hepatitis due to Ecballium elaterium in a 39 years old patient, with no past medical history.
authors.affiliation: Hepato-gastroenterology Department, Military Hospital of Tunis, Tunis, Tunisia.
authors.forename: Sondès
authors.initials: S
authors.lastname: Bizid
authors.affiliation: Hepato-gastroenterology Department, Military Hospital of Tunis, Tunis, Tunisia. Electronic address: sabbah_meriam@yahoo.fr.
authors.forename: Mériam
authors.initials: M
authors.lastname: Sabbah
authors.affiliation: Histopathology Department, Military Hospital of Tunis, Tunis, Tunisia.
authors.forename: Issam
authors.initials: I
authors.lastname: Msakni
authors.affiliation: Hepato-gastroenterology Department, Military Hospital of Tunis, Tunis, Tunisia.
authors.forename: Baha
authors.initials: B
authors.lastname: Ben Slimene
authors.affiliation: Hepato-gastroenterology Department, Military Hospital of Tunis, Tunis, Tunisia.
authors.forename: Ghanem
authors.initials: G
authors.lastname: Mohamed
authors.affiliation: Hepato-gastroenterology Department, Military Hospital of Tunis, Tunis, Tunisia.
authors.forename: Riadh
authors.initials: R
authors.lastname: Bouali
authors.affiliation: Hepato-gastroenterology Department, Military Hospital of Tunis, Tunis, Tunisia.
authors.forename: Hatem
authors.initials: H
authors.lastname: Ben Abdallah
authors.affiliation: Hepato-gastroenterology Department, Military Hospital of Tunis, Tunis, Tunisia.
authors.forename: Nabil
authors.initials: N
authors.lastname: Abdelli
mesh_terms: D000328:Adult; D056486:Chemical and Drug Induced Liver Injury / Q000188:drug therapy / Q000209:etiology*; D002756:Cholagogues and Choleretics / Q000008:administration & dosage*; D019662:Cucurbitaceae / Q000633:toxicity*; D004359:Drug Therapy, Combination; D004638:Emergency Treatment; D006633:Histamine Antagonists / Q000008:administration & dosage*; D006801:Humans; D041781:Jaundice, Obstructive / Q000139:chemically induced* / Q000188:drug therapy; D008297:Male; D008517:Phytotherapy / Q000009:adverse effects*; D016896:Treatment Outcome; D014580:Ursodeoxycholic Acid / Q000008:administration & dosage*
chemical_list: D002756:Cholagogues and Choleretics; D006633:Histamine Antagonists; D014580:Ursodeoxycholic Acid