We describe a case history of a 41-year-old woman who developed an allergic
hepatitis with massive eosinophilia and elevated hepatic transaminases sec
ondary to clomipramine, a tricyclic antidepressant (TCA) drug, Although dru
g-induced allergic hepatitis during tricyclic antidepressant therapy is ver
y rare, one should consider this diagnosis in the ease of (right-sided) abd
ominal pain and fever whenever a TCA is used, especially during the second
month of treatment.