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A Case of Auto-brewery Syndrome Treated with Micafungin.
Cureus. 2019 Oct 14; 11(10):e5904.C

Abstract

Auto-brewery syndrome is caused by alcohol brewing inside the human body; it is a rare clinical condition where the patient becomes inebriated without exogenous alcohol use. Yeast is responsible, and treatment requires an appropriate antifungal agent. If undiagnosed, the patient's life becomes a misery. We present a case of a 45-year-old male who suffered from this condition for over three years with two arrests for driving under the influence prior to being diagnosed. The patient stated that he felt the episodes were related to his meal intakes; therefore, he would skip most meals of the day. The patient visited several centers where he was told there was not much they could offer him and he was left without a diagnosis. A carbohydrate challenge test in a monitored setting showed elevated blood alcohol levels. He was treated with antifungals and a low carbohydrate diet which resulted in the resolution of his symptoms. Hence the importance of awareness among physicians is necessary along with a high index of suspicion.

Authors+Show Affiliations

Infectious Disease, Richmond University Medical Center, Staten Island, USA.Internal Medicine, University of Alabama at Birmingham, Montgomery, USA.Internal Medicine, Richmond University Medical Center, Staten Island, USA.Gastroenterology, Richmond University Medical Center, Staten Island, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31777691

Citation

Saverimuttu, Jessie, et al. "A Case of Auto-brewery Syndrome Treated With Micafungin." Cureus, vol. 11, no. 10, 2019, pp. e5904.
Saverimuttu J, Malik F, Arulthasan M, et al. A Case of Auto-brewery Syndrome Treated with Micafungin. Cureus. 2019;11(10):e5904.
Saverimuttu, J., Malik, F., Arulthasan, M., & Wickremesinghe, P. (2019). A Case of Auto-brewery Syndrome Treated with Micafungin. Cureus, 11(10), e5904. https://doi.org/10.7759/cureus.5904
Saverimuttu J, et al. A Case of Auto-brewery Syndrome Treated With Micafungin. Cureus. 2019 Oct 14;11(10):e5904. PubMed PMID: 31777691.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Case of Auto-brewery Syndrome Treated with Micafungin. AU - Saverimuttu,Jessie, AU - Malik,Fahad, AU - Arulthasan,Marutha, AU - Wickremesinghe,Prasanna, Y1 - 2019/10/14/ PY - 2019/11/29/entrez PY - 2019/11/30/pubmed PY - 2019/11/30/medline KW - alcohol KW - antibiotics KW - fermenter KW - gut microbiota KW - gut microbiota in health and disease KW - probiotics SP - e5904 EP - e5904 JF - Cureus JO - Cureus VL - 11 IS - 10 N2 - Auto-brewery syndrome is caused by alcohol brewing inside the human body; it is a rare clinical condition where the patient becomes inebriated without exogenous alcohol use. Yeast is responsible, and treatment requires an appropriate antifungal agent. If undiagnosed, the patient's life becomes a misery. We present a case of a 45-year-old male who suffered from this condition for over three years with two arrests for driving under the influence prior to being diagnosed. The patient stated that he felt the episodes were related to his meal intakes; therefore, he would skip most meals of the day. The patient visited several centers where he was told there was not much they could offer him and he was left without a diagnosis. A carbohydrate challenge test in a monitored setting showed elevated blood alcohol levels. He was treated with antifungals and a low carbohydrate diet which resulted in the resolution of his symptoms. Hence the importance of awareness among physicians is necessary along with a high index of suspicion. SN - 2168-8184 UR - https://www.unboundmedicine.com/medline/citation/31777691/A_Case_of_Auto_brewery_Syndrome_Treated_with_Micafungin_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31777691/ DB - PRIME DP - Unbound Medicine ER -
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