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Hemorrhagic Cystitis Induced by an Herbal Mixture

Maria Antonietta Catania, MD, Alessandro Oteri, PharmD, Paola Caiello, MD, Alessandra Russo, MD, Francesco Salvo, MD, Ettore Saffi Giustini, MD, Achille Patrizio Caputi, MD, Giovanni Polimeni, PharmD
Volume: 103 Issue: 1 January, 2010

Abstract:

A healthy 33-year-old woman consumed a slimming product containing a mixture of herbal remedies without seeking medical advice. Two months later, the patient had hemorrhagic cystitis and discontinued the herbal product. Symptoms spontaneously remitted in a few days. Four months later, she took the same herbal remedy and the hemorrhagic cystitis reappeared. She then consulted her general practitioner. A urine culture test was negative, and the patient was advised to discontinue the herb intake. Again, the cystitis resolved within a week. The product involved contains a mixture of herbs, some of which have been associated with adverse effects that might account for the symptoms reported in this case.

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