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Endogenous ethanol fermentation in a child with short bowel syndrome.
Acta Paediatr. 2006 Apr; 95(4):502-4.AP

Abstract

The term "auto-brewery syndrome" has been frequently used to describe patients who show features of alcohol intoxication because of abnormal yeast proliferation after ingesting carbohydrate-rich meals. We present a case of a 3-y-old girl with short bowel syndrome (SBS) who demonstrated signs of alcohol intoxication on repeated occasions. A blood test indicated an ethanol concentration of 15 mmol/l, and cultures from gastric fluid and faeces showed the presence of Candida kefyr. An association was found between the introduction of a carbohydrate-rich fruit drink and the occurrence of symptoms.

CONCLUSION

The possibility of endogenous ethanol fermentation should be considered in patients with SBS and the diagnosis of auto-brewery syndrome added to the differential diagnosis list for D-lactic acidosis. Management includes both antifungal treatment and special diet modification.

Authors+Show Affiliations

Section of Infectious Diseases, Department of Medical Sciences, University Hospital, Uppsala, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16720504

Citation

Jansson-Nettelbladt, Evelyn, et al. "Endogenous Ethanol Fermentation in a Child With Short Bowel Syndrome." Acta Paediatrica (Oslo, Norway : 1992), vol. 95, no. 4, 2006, pp. 502-4.
Jansson-Nettelbladt E, Meurling S, Petrini B, et al. Endogenous ethanol fermentation in a child with short bowel syndrome. Acta Paediatr. 2006;95(4):502-4.
Jansson-Nettelbladt, E., Meurling, S., Petrini, B., & Sjölin, J. (2006). Endogenous ethanol fermentation in a child with short bowel syndrome. Acta Paediatrica (Oslo, Norway : 1992), 95(4), 502-4.
Jansson-Nettelbladt E, et al. Endogenous Ethanol Fermentation in a Child With Short Bowel Syndrome. Acta Paediatr. 2006;95(4):502-4. PubMed PMID: 16720504.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endogenous ethanol fermentation in a child with short bowel syndrome. AU - Jansson-Nettelbladt,Evelyn, AU - Meurling,Staffan, AU - Petrini,Björn, AU - Sjölin,Jan, PY - 2006/5/25/pubmed PY - 2006/7/21/medline PY - 2006/5/25/entrez SP - 502 EP - 4 JF - Acta paediatrica (Oslo, Norway : 1992) JO - Acta Paediatr. VL - 95 IS - 4 N2 - UNLABELLED: The term "auto-brewery syndrome" has been frequently used to describe patients who show features of alcohol intoxication because of abnormal yeast proliferation after ingesting carbohydrate-rich meals. We present a case of a 3-y-old girl with short bowel syndrome (SBS) who demonstrated signs of alcohol intoxication on repeated occasions. A blood test indicated an ethanol concentration of 15 mmol/l, and cultures from gastric fluid and faeces showed the presence of Candida kefyr. An association was found between the introduction of a carbohydrate-rich fruit drink and the occurrence of symptoms. CONCLUSION: The possibility of endogenous ethanol fermentation should be considered in patients with SBS and the diagnosis of auto-brewery syndrome added to the differential diagnosis list for D-lactic acidosis. Management includes both antifungal treatment and special diet modification. SN - 0803-5253 UR - https://www.unboundmedicine.com/medline/citation/16720504/Endogenous_ethanol_fermentation_in_a_child_with_short_bowel_syndrome_ L2 - https://doi.org/10.1080/08035250500501625 DB - PRIME DP - Unbound Medicine ER -