A rare cause of drug-induced hepatitis in an immunocompromised patient and the role of glutathione

Table 1 Herbal supplements and their potential hepatoxicities

Herbal supplements	Potential hepatotoxicity
Pyrrolizidine-containing teas	Hepatic veno-occlusive disease
Germander (Teucrium chamaedrys)-Diterpenoids	Hepatitis, hepatic cirrhosis
Ma huang (Ephedra products)	Fulminant hepatic failure
Comfrey, Kava Kava, Lipokinetics, Chaparral (Larrea tridentate), black cohosh	Hepatotoxicity (rare with black cohosh) Chaparral associated with cholestatic and severe hepatic dysfunction
Panax ginseng (Energy drinks )	Serum transaminitis
St. John’s Wort	Interacts with NNRTIs and PIs
European mistletoe	Hepatotoxic drug interactions and serum transaminitis
Saireito (Shosaikoto and goreisan)	Serum transaminitis
Pennyroyal oil (Mentha pulegium and Hedeoma pulegoides plants)	Direct hepatotoxicity and acute liver failure in higher doses
Fucoidan (Sulfated polysaccharides)	Unknown hepatotoxicity
Maya nut (Finger millet)	Unknown hepatotoxicity

NNRTIs: Non-nucleoside reverse transcriptase inhibitors; PIs: Protease inhibitors.