{"meta":{"exportedAt":"2026-10-16T07:00:33.497Z","formatVersion":2,"selection":{"q":"acute-kidney-injury","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"2026","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":1,"languages":1,"unknownLocation":0,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":1,"contextualRelations":0,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-hangzhou-man-followed-ai-dosing-advice-in-tablets-took-triple-antiviral-dose-acute-kidney-injury","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'自行上网用AI搜索治疗建议，购买了“伐昔洛韦”口服。'; '而AI的用药建议只给了每次服用的“粒数”而不是“克”'; '超过标准剂量3倍，再加上服用了一次消炎止痛药，两种药物在超剂量使用时可出现急性肾小管坏死、过敏性间质性肾炎等急性肾衰表现。'","relation":"supports","source_id":"s1"},{"locator":"'而AI建议中仅注明粒数而非具体克数。'; '便上网用AI搜索用药建议自行服用抗病毒药物，没想到几天后出现乏力恶心等症状被家人紧急送医。'","relation":"supports","source_id":"s2"}],"assertion":"According to the hospital, the patient used AI online to look up treatment for a cold sore and bought valaciclovir; the AI's advice gave the number of tablets per dose rather than the amount in grams, and because the imported tablets were three times the usual domestic strength he took more than three times the standard dose, plus an anti-inflammatory painkiller once.","causal_attribution":"The hospital's account as reported by Red Star News; the AI tool and its full answer are not published, and the hospital names the painkiller as a second drug in the overdose."},{"id":"c2","status":"reported","evidence":[{"locator":"'近日，一名患者使用AI问诊后误服用大剂量药物，导致血肌酐飙升至10倍，出现急性药物性肾损伤，后经治疗已出院。'; '同时腹部CT平扫发现输尿管、膀胱均存在不规则的水肿，立刻由急诊收入肾病科病房。'; '血肌酐在5天内就降到了正常范围，目前已出院。'","relation":"supports","source_id":"s1"}],"assertion":"The patient was taken to the emergency department with a blood creatinine of about 800 umol/L, about ten times his earlier level, was admitted to the nephrology ward with acute drug-induced kidney injury, and after treatment his creatinine returned to normal within five days and he was discharged.","causal_attribution":"The hospital's clinical account relayed by the press; no medical record or case report is published."}],"effects":[{"label":"acute drug-induced kidney injury and hospital admission after an overdose (hospital account)","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.chinanews.com.cn/sh/2026/01-26/10558901.shtml","kind":"news_report","access":"read","language":"zh","translation_note":"Read in Chinese and translated by the research agent (an AI) on 2026-10-16; no human reviewer inspected the text. China News Service page of 26 January 2026 carrying a Red Star News report based on information from Zhejiang Provincial Tongde Hospital.","independence_group":"tongde-hospital-account-2026-01"},{"id":"s2","url":"https://www.sohu.com/a/981400955_211762","kind":"social_media_post","access":"read","language":"zh","translation_note":"Read in Chinese and translated by the research agent (an AI) on 2026-10-16; no human reviewer inspected the text. Sohu account post of 29 January 2026 retelling the same hospital account; it adds no independent origin, so it shares s1's group.","independence_group":"tongde-hospital-account-2026-01"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["Which AI tool the patient used, what he asked and the full text of its advice.","The exact date of the overdose; the 26 January 2026 report describes it as recent.","How much the cold remedy and the painkiller contributed relative to the antiviral overdose."],"geography":{"basis":"The patient was treated at Zhejiang Provincial Tongde Hospital in Hangzhou (China News Service; Sohu calls it a Hangzhou case), so CN is the event country. No source states his residence or nationality, so the affected-person country is left unknown. No court.","court_countries":[],"event_countries":["CN"],"affected_person_countries":[]},"publication":{"basis":"Published as a core case: Zhejiang Provincial Tongde Hospital, reported by Red Star News via China News Service, describes a patient who followed AI dosing advice given in tablets rather than grams, took more than three times the standard valaciclovir dose and was admitted with acute drug-induced kidney injury, recovering within five days. The AI's role is attributed to the hospital's account; the tool is unidentified.","reviewed_on":"2026-10-16"},"ai_involvement":{"basis":"Zhejiang Provincial Tongde Hospital, as reported by Red Star News via China News Service, says the patient used AI online for treatment advice and that the AI's medication advice gave the number of tablets per dose but not the amount in grams; because the imported valaciclovir he bought was three times the usual strength, he took more than three times the standard dose. The described contribution is the AI's dosing answer to the patient (communicated_with), which the hospital connects to the overdose and the kidney injury. The tool and its exact output are not published, and the hospital also names a painkiller taken once, so the status is reported.","status":"reported"},"person_relations":["communicated_with"]},"name":"Hangzhou hospital says a man took three times the standard antiviral dose after AI advice gave tablet counts, not grams, and developed acute kidney injury","summary":"Zhejiang Provincial Tongde Hospital in Hangzhou told Red Star News (relayed by China News Service on 26 January 2026) that a patient with a cold sore had recently used AI online to look up treatment, bought valaciclovir and took it as advised. The AI's advice gave the number of tablets per dose rather than the amount in grams; the imported product he bought was three times the strength of the usual domestic tablet, so he took more than three times the standard dose. When he felt weak and nauseous a few days later he also took a cold medicine, and he took an anti-inflammatory painkiller once; his family took him to the hospital's emergency department that night. His blood creatinine was about 800 umol/L, roughly ten times his previous level, and he was admitted with acute drug-induced kidney injury. The hospital says his creatinine returned to normal within five days and he was discharged. The AI tool and its exact wording are not identified.","incidentDate":"2026-01-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"single_interaction","reportedDate":"2026-01-26","aiSystem":"An AI tool the patient used online to search for treatment advice (not named); the hospital says its dosing advice gave the number of tablets per dose but not the amount in grams","aiProduct":"Unidentified AI search tool","severity":"medium","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["hospitalization","medical_deterioration"],"harmOutcomeSummary":"According to the hospital, the patient developed acute drug-induced kidney injury, with creatinine about ten times his earlier level, and was admitted from the emergency department; the hospital links this to taking more than three times the standard antiviral dose after AI advice that gave tablet counts without the strength, plus a painkiller. He recovered within five days.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, described by the hospital as having used the AI advice himself; no one else is reported harmed.","victimAgeRange":"adult","jurisdiction":"CN","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://www.chinanews.com.cn/sh/2026/01-26/10558901.shtml","primarySourceLabel":"China News Service (Red Star News), 26 January 2026: man took three times the dose after AI consultation, acute drug-induced kidney injury","firstPublishedAt":"2026-10-16T03:09:44.700687+00:00","updatedAt":"2026-10-16T03:09:44.700687+00:00","scopeVersion":"facts-v3","tags":["ai-medical-advice","medication-dosing","acute-kidney-injury","zhejiang","communicated-with"]}]}