• 作者：Eva Martí ; nez Amate ; Marco A. Rodrí ; guez Manrique ; Mercedes Gonzá ; lez Sá ; nchez ; Marta Casado Martin ; ^{mm.casado.m@gmail.com}
• 关键词：Hepatotoxicidad ; Agua clorada ; Cloro ; Dañ ; o hepá ; tico inducido por tó ; xicos ; Sí ; ndrome de hipersensibilidad al cloro
• 刊名：Gastroenterolog铆a y Hepatolog铆a
• 出版年：2010
• 期刊代码：pca167_02105705
• 类别：med
• 出版时间：November 2010
• 卷：33
• 期：9
• 页码：629-632
• 文件大小：343 K

Toxic-induced liver disease is uncommon, although the true proportion of cases of hepatotoxicity is unknown, as this entity is underdiagnosed and underreported. The main reasons why toxic-induced liver disease goes unnoticed is the lack of pathognomonic data and the lack of spontaneous reporting by doctors and pharmacists. In some cases, the toxic substance can leave its 芦signature禄 in the form of clinical semiology suggestive of an underlying toxic cause. We present a case of hepatotoxicity induced by drinking water (chlorinated), which produced a reactive metabolites syndrome (trihalomethanes from the reaction of chlorine with organic products). Although the clinical presentation was typical, the case posed a diagnostic challenge for the various professionals involved.