Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918

This article has now been updated. Please use the final version.

Thrombocytopenia Caused by a Tea Beverage of Taxus yunnanensis (Chinese Yew)
Kumi UbukawaYoshihiro KameokaYong-Mei GuoMiho NaraAtsushi WatanabeMasumi FujishimaNaohito FujishimaTomoko YoshiokaNaoto Takahashi
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JOURNAL OPEN ACCESS Advance online publication

Article ID: 2967-19

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Abstract

A 53-year-old woman presented at our hospital due to nasal bleeding and petechiae with profound thrombocytopenia (0.4×109/L). Her platelet count returned to the normal range immediately following a platelet transfusion. In this case, tea brewed from Taxus yunnanensis was the only suspected agent ingested prior to the onset of thrombocytopenia while all other etiologies for thrombocytopenia were excluded. A re-exposure test to Taxus yunnanensis resulted in the recurrence of acute thrombocytopenia. The association of thrombocytopenia with substances other than drugs has so far only been rarely described and to the best of our knowledge, this is the first reported case of thrombocytopenia caused by Taxus yunnanensis.

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© 2020 by The Japanese Society of Internal Medicine
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