A 61-year-old man in California was rushed to a hospital in San Francisco after taking a combination of herbal supplements for joint pain, which ended up causing his body to shut down. The man's case is being cited as a cautionary tale about the dangers of using unproven and unregulated supplements.
The man had been taking three different types of herbal supplements - Artri King, Nhan Sam Tuyet Lien, and Linsen Double Caulis Plus - for four years, sometimes taking them up to four times a day. He stopped using them in the weeks leading up to his illness, but it's believed that they played a significant role in his condition.
When he arrived at the hospital, the man was in bad shape, with nonspecific problems such as back pain, fever, nausea, and bloating. His heart rate and breathing were high, his blood pressure was low, and he had multiple wounds on his lower body.
Initial exams and lab work revealed a bacterial infection in his blood, an abscess on his shoulder, and an infection in and around his spine that was worsening. Doctors attempted to perform surgery to relieve the pressure on his spinal cord and nerves, but his blood pressure was too low, causing him to go into hemorrhagic shock from bleeding in his gastrointestinal tract.
After being transferred to the intensive care unit, doctors discovered more problems with his GI tract, including an inflamed esophagus, a stomach ulcer, and an "oozing" ulcer in the upper part of his small intestines. Despite stabilizing the bleeding, the man continued to deteriorate, with his blood pressure dropping further and his breathing worsening.
To save his life, doctors intubated him, but it took six weeks for his HPA axis (the body's stress response system) to show signs of recovery on tests. By that time, he had developed recurrent bacterial infections in his blood and persistent delirium. It wasn't until several months later that he was finally discharged from the hospital.
The doctors who treated the man are warning about the dangers of using herbal supplements without proper regulation or awareness of potential risks. "Clinicians must remain vigilant in assessing supplement use and educate patients on potential risks, particularly regarding hidden glucocorticoids, to prevent serious health complications such as adrenal insufficiency," they conclude.
This case highlights the importance of being cautious when taking unproven supplements, especially those containing unlisted glucocorticoids. The FDA has issued warnings about these supplements, but public awareness remains low.
The man had been taking three different types of herbal supplements - Artri King, Nhan Sam Tuyet Lien, and Linsen Double Caulis Plus - for four years, sometimes taking them up to four times a day. He stopped using them in the weeks leading up to his illness, but it's believed that they played a significant role in his condition.
When he arrived at the hospital, the man was in bad shape, with nonspecific problems such as back pain, fever, nausea, and bloating. His heart rate and breathing were high, his blood pressure was low, and he had multiple wounds on his lower body.
Initial exams and lab work revealed a bacterial infection in his blood, an abscess on his shoulder, and an infection in and around his spine that was worsening. Doctors attempted to perform surgery to relieve the pressure on his spinal cord and nerves, but his blood pressure was too low, causing him to go into hemorrhagic shock from bleeding in his gastrointestinal tract.
After being transferred to the intensive care unit, doctors discovered more problems with his GI tract, including an inflamed esophagus, a stomach ulcer, and an "oozing" ulcer in the upper part of his small intestines. Despite stabilizing the bleeding, the man continued to deteriorate, with his blood pressure dropping further and his breathing worsening.
To save his life, doctors intubated him, but it took six weeks for his HPA axis (the body's stress response system) to show signs of recovery on tests. By that time, he had developed recurrent bacterial infections in his blood and persistent delirium. It wasn't until several months later that he was finally discharged from the hospital.
The doctors who treated the man are warning about the dangers of using herbal supplements without proper regulation or awareness of potential risks. "Clinicians must remain vigilant in assessing supplement use and educate patients on potential risks, particularly regarding hidden glucocorticoids, to prevent serious health complications such as adrenal insufficiency," they conclude.
This case highlights the importance of being cautious when taking unproven supplements, especially those containing unlisted glucocorticoids. The FDA has issued warnings about these supplements, but public awareness remains low.