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ACG Case Rep J. 2019 Sep 9;6(9):e00208. doi: 10.14309/crj.0000000000000208. eCollection 2019 Sep.

Drunk Without Drinking: A Case of Auto-Brewery Syndrome.

Author information

1
Division of General Internal Medicine, Department of Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX.
2
Division of Infectious Diseases, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX.
3
The University of Texas at Houston, Memorial Hermann Center of Healthcare Quality and Safety, Houston, TX.

Abstract

Information on auto-brewery syndrome is limited in the medical literature. This rare syndrome occurs when yeast overgrowth leads to ethanol fermentation in the gut. We present a patient presenting with symptoms of alcohol intoxication with objective laboratory data of elevated blood ethanol levels without a history of alcohol consumption. We reviewed the literature and have discussed the current diagnostic and therapeutic options.

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