J. Barrio et al., CHOLESTASIS ACUTE HEPATITIS BY AMOXICILLIN-CLAVULANIC ACID - UTILITY OF URSODEOSYCHOLIC ADMINISTRATION IN TOXIC CHOLESTASIS, Revista espanola de enfermedades digestivas, 90(7), 1998, pp. 523-526
We report two cases of acute hepatotoxicity after treatment with amoxi
cillin-clavulanic. Viral hepatitis serology and autoantibodies were ne
gative. Biliary tree obstruction and other etiologies were excluded. A
fter discontinuation of the drug the evolution was favorable with clin
ical improvement and normalization of liver tests. Liver biopsy made i
n one patient showed cholestasis hepatitis with hepatocellular necrosi
s and other patient was treated with ursodeoxycholic. Also, we analyse
potential utility of ursodeoxycholic acid administration in toxic cho
lestasis.