A Delayed Case of Black Cohosh Associated Drug-Induced Liver Injury

Sara Khodor, Max Feldman


Drug-induced liver injury is the leading cause of acute liver failure in the United States. While acetaminophen is the most common culprit, there are over 1,000 prescriptions and over the counter medications that have been implicated. Black cohosh is an herbal supplement commonly used for the treatment of menopausal symptoms which has been reported to cause drug-induced liver injury. The latency period of black cohosh drug induced liver injury is highly variable which can make the diagnosis challenging. We present a case of a 59-year-old female who developed drug-induced liver injury after the use of black cohosh products.

J Med Cases. 2018;9(9):287-288
doi: https://doi.org/10.14740/jmc3108w


Black cohosh; Hepatitis; Drug-induced; Liver injury; Herbal supplement; Estroven

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