{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:32:39Z","timestamp":1792697559285,"version":"4.5.0"},"reference-count":10,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,5,15]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>We present a teetotaler with compensated non-alcoholic fatty-liver-disease related cirrhosis who presented with acute worsening of his chronic liver disease. The acute event was not discernible even after extensive work up and finally a transjugular liver biopsy revealed features suggestive of severe alcoholic hepatitis. The patient and the family denied occult alcohol use when questioned over multiple times and finally, the culprit \u2018alcohol\u2019 was found to be the homoeopathy medicines that the patient was consuming over a month for treatment of Gilbert\u2019s syndrome. We retrieved and tested the homoeopathy drug for alcohol content and found an alarming 18% ethanol in the same, confirming our diagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2019-229627","type":"journal-article","created":{"date-parts":[[2019,5,29]],"date-time":"2019-05-29T06:46:24Z","timestamp":1559112384000},"page":"e229627","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Homeopathy-medicine induced severe alcoholic hepatitis"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9587-336X","authenticated-orcid":false,"given":"Cyriac Abby","family":"Philips","sequence":"first","affiliation":[{"name":"The Liver Unit, Ernakulam Medical Centre, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Augustine","sequence":"additional","affiliation":[{"name":"Gastroenterology, Ernakulam Medical Centre, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajaguru","family":"Paramaguru","sequence":"additional","affiliation":[{"name":"Pathology, PVS Memorial Hospital Ltd, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rizwan","family":"Ahamed","sequence":"additional","affiliation":[{"name":"Gastroenterology, Ernakulam Medical Centre, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,5,28]]},"reference":[{"key":"2025082701065533000_12.5.e229627.1","first-page":"147","article-title":"Alcoholic Liver Disease: Pathogenesis and Current Management","volume":"38","author":"Osna","year":"2017","journal-title":"Alcohol Res"},{"key":"2025082701065533000_12.5.e229627.2","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2015.35"},{"key":"2025082701065533000_12.5.e229627.3","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1038\/s41395-018-0154-0","article-title":"Severe Alcoholic Hepatitis in a Teetotaler","volume":"113","author":"Philips","year":"2018","journal-title":"Am J Gastroenterol"},{"key":"2025082701065533000_12.5.e229627.4","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1111\/bcp.12259","article-title":"Adverse effects and homeopathy: may remedies yet contain noxious or toxic molecules?","volume":"78","author":"Chirumbolo","year":"2014","journal-title":"Br J Clin Pharmacol"},{"issue":"Suppl 1","key":"2025082701065533000_12.5.e229627.5","doi-asserted-by":"crossref","first-page":"S35","DOI":"10.1054\/homp.1999.0378","article-title":"Do homeopathic medicines provoke adverse effects? A systematic review","volume":"89 Suppl 1","author":"Dantas","year":"2000","journal-title":"Br Homeopath J"},{"key":"2025082701065533000_12.5.e229627.6","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12026"},{"issue":"Suppl 1","key":"2025082701065533000_12.5.e229627.7","first-page":"S231","article-title":"Effects of homeopathic mother tinctures on breath alcohol testing","volume":"60 Suppl 1","author":"Boatto","year":"2015","journal-title":"J Forensic Sci"},{"key":"2025082701065533000_12.5.e229627.8","unstructured":"WHO. Safety issues in the preparation ofhomeopathic medicines, 2009."},{"key":"2025082701065533000_12.5.e229627.9","unstructured":"NEWS4SA. \u2019Homeopathic' treatment contains as much alcohol as whiskey. 2018 https:\/\/news4sanantonio.com\/news\/local\/homeopathic-treatment-contains-as-much-alcohol-as-whiskey"},{"key":"2025082701065533000_12.5.e229627.10","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s12664-018-0820-6","article-title":"Ayurvedic and herbal medicine-induced liver injury: It is time to wake up and take notice","volume":"37","author":"Devarbhavi","year":"2018","journal-title":"Indian J Gastroenterol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229627","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:07:06Z","timestamp":1756282026000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229627"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":10,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019,5,28]]},"published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1136\/bcr-2019-229627"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229627","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}