Saireito-induced cystitis in children: Two new cases and a review of the literature

Springer Science and Business Media LLC - Tập 1 - Trang 142-145 - 1997
Kenichi Kano1, Sachio Ito1, Tohju Ichimura1
1First Department of Pediatrics, Dokkyo University School of Medicine, Tochigi, Japan

Tóm tắt

We describe 2 children with sterile cystitis caused by Saireito, a traditional Chinese herbal medicine. A diagnosis of cystitis was made for 1 child at 8 months and for the other at 11 months after Saireito treatment for renal disease was initiated. Clinical symptoms were resolved 1 and 6 weeks after Saireito treatment was withdrawn. We also reviewed the first report written in the English language on 8 additional patients with Saireito-induced cystitis. We found that Saireito-induced cystitis occurred mainly in children and developed 6 months or more after Saireito treatment was initiated. The incidence is not uncommon, and the cause may be an allergic reaction, because eosinophilic cell infiltration was noted on histopathologic examination, and the challenge test was positive. We recommend that, when sterile cystitis develops during treatment with Saireito, Saireito should be immediately withdrawn.

Tài liệu tham khảo

Tojo S, Yoshitoshi Y, Nagasawa T, Narita M, Miyahara T, Nishiyama K, Hatano M, Honda N. Clinical effect of kampo medicine extract granules for ethical use, Sairei-to (TJ-114) in chronic glomerulonephritis and nephrotic syndrome: a multi-center open study. Kidney Dial 1991;31:613–625 (in Japanese). Ito K, Okada T, Kitagawa T, Yazaki U, Yamaguchi M, Wada H, Kokubu Y, Kobayashi O. The clinical effect of Saireito (TJ-114) on chronic glomerulonephritis and nephrotic syndrome in children. Kidney Dial 1994;36:1237–1246 (in Japanese). Okazora T, Okada T, Hoshika T, Niisawa T, Ohtani K, Tanio S, Nakamoto S. Two cases with urinary abnormalities due to Saiko-drug (Saire-to and Shosaiko-to). Jpn J Pediatr Nephrol 1993;6:92–95 (in Japanese). Yamazaki M, Miyagawa K, Amano Y, Terauchi A, Tsukada M, Watanabe K, Mori T. A-bacterial cystitis in a girl with IgA nephropathy. Jpn J Pediatr 1994;47:473–478 (in Japanese). Tsuchida S, Hata I, Nakata Y, Shimizu T, Hiraoka M, Hori C, Sudo M. A case of eosinophilic cystitis due to Sairei-to: a case report and review of literature. J Jpn Pediatr Soc 1994;98:91–95 (in Japanese with English summary). Ito T, Suzuki Y, Ishihama H, Kokubo M, Nagai M, Shiraya H, Kawakita A, Nishimura Y. Drug induced cystitis due to a herb medicine: a case report about a cystitis due to Saireito. J Pediatr Pract 1994;57:1704–1707 (in Japanese). Okabe K, Nakazato H, Yoshida T, Tsuchiya K. Eosinophilic cystitis associated with the herbal medicine “Sairei-to”. Kitakanto Med J 1995;45:583–585 (in Japanese with English summary). Pharmaceutical and Supply Bureau of the Ministry of Health and Welfare. Chinese herbal medicine (Saibokuto, Sairei-to, Shosaiko-to, and Saikokeishi-to) and bladder irritative symptom. Information on side effects of medicines 1993;123:2–4 (in Japanese). Morita M, Hirokawa H, Ishii T, Oikawa T, Saito K. A case of aseptic cystitis due to Saireito. J Jpn Pediatr Soc 1994;98:1661–1662 (in Japanese). Iguchi H, Ueda M, Tsumura Y. Case report of cystitis on an asthmatic patient under medication with Saireito. J Pediatr Pract 1993;97:1383–1386 (in Japanese). Yonese J, Okuno T, Tohma T, Ishiwatari D. A case of cystitis due to a herbal medicine. Jpn J Urol 1993;84:573. (abstr, in Japanese). Gakiya M, Nakai H, Miyazato M, Higuchi A, Shishido S, Kawamura T. Clinical study of 15 cases of pediatric eosinophilic cystitis. Nishinihon J Urol 1994;56:1324–1327 (in Japanese with English summary). Watanabe R, Anezaki M. A case of eosinophilic cystitis induced by kampo medicine “Shosaiko-to”. Jpn J Clin Urol 1994;48:958–960 (in Japanese with English summary). Drugs in Japan, ethical drugs. Japan Pharmaceutical Information Center (ed) Saireito. Tokyo: Yakugyo Jiho, 1994:1457 (in Japanese). O'Neill GFA. Tiaprofenic acid as a cause of non-bacterial cystitis. Med J Aust 1994;160:123–125.