For years, no one believed a visibly drunk man who said he had not drunk alcohol.
Will become inclined to fall, exhibit "brain fog and aggressive behavior" and even be arrested on suspicion of drunk driving while swearing that he did not touch a drop of alcohol.
His family, doctors and police were convinced that he was a drinker in the closet.
The truth was much stranger: the husband of a 46-year-old man began to produce his own alcohol in his gut every time he ate carbohydrates – a rare condition known as auto-brewing syndrome.
Occurs when "intestinal disorders", including the use of antibiotics, allow some fermenting fungi or bacteria in the gastrointestinal tract to grow unchecked. When a person then consumes carbohydrates ̵
This sounds ridiculous, but experts say the occurrence of unexplained and accidental intoxication can have a profound effect on patients' lives and can lead to family, jobs and legal troubles.
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Auto-brewing syndrome should be considered an option in any patient who exhibits alcohol toxicity but denies alcohol use, writes doctors at the University of Richmond Medical Center in New York while describing the case of an unnamed man in the BMJ Open. Gastroenterology.
problems began in 2011 after he started taking antibiotics to injure his thumb, they said. He has always been healthy and active, but is beginning to experience "very uncharacteristic" changes in personality, along with episodes of depression.
A psychiatrist treated him with antidepressants and anxiety medications. The police then arrested him for a DUI when his blood alcohol concentration was 0.2% or more than twice the legal limit and is sufficient for most people to experience eclipse.
alcohol ingestion, "the report noted.
Things began to turn when the aunt of the man heard about a similar case being treated in Ohio. She bought a breathing apparatus to monitor his levels. alcohol, and urged him to do a lab test to find beer yeast in his feces.
To confirm he had auto-brewing syndrome, doctors in Ohio asked him to eat carbohydrates. his blood alcohol which really sharpened after 8 hours.
He started after a short round of antifungal medications and a strict carbohydrate-free diet, but soon repeated, leading to a severe decline in blood alcohol levels.
The man then sought help from doctors at the Medical Center of Richmond University, who provided him with antifungal therapy, which was successful for several weeks, with one failure.
"Unknown to us, he eats pizza and baking soda while on this treatment, leading to severe recurrence of ABS ", The report noted.
Finally, tests for his gastrointestinal secretions show that the growth of the fungus has disappeared. He began taking probiotics, microorganisms that promote good bacteria in a person's digestive system, which helped restore his normal intestinal flora and his symptoms disappeared.
His doctors believe that antibiotics prescribed for thumb injury have triggered the condition, altering the gut microbiome and allowing "fungal growth."
19659002] Strange as it may sound, they think auto-brewing syndrome is probably an under-diagnosed condition.