Adverse reactions of herbal drug: a case report of hepatitis, oral mucositis, and lichenoid reactions

Herbal medicine products are widely used as a popular therapeutic option worldwide. However, it is unfounded to assume that they are entirely free from side effects. In this particular case report, we are discussing a 40-year-old male patient who was diagnosed with herbal drug-induced hepatitis and oral mucositis, along with lichenoid reactions secondary to drug reaction. The patient was advised to take oral steroids and moisturizing cream. Initially, the patient was admitted under the Department of ENT and was later transferred to the Department of Medicine due to severe thrombocytopenia. Necessary investigations were conducted, which revealed leukocytopenia, thrombocytopenia, and deranged LFT. Two pints of RDP were transfused to address the thrombocytopenia, and the platelet count gradually improved. Subsequently, the patient was shifted to the general ward. Repeated LFT results returned to normal, and the patient was discharged. By reporting such cases, healthcare professionals and the public become more aware of the potential risks associated with herbal drugs. This facilitates the identification of adverse effects, thereby aiding in the prevention of additional harm to patients.