Auto-brewery syndrome

Auto-brewery syndrome, also known as gut fermentation syndrome, is a rare medical condition in which intoxicating quantities of ethanol are produced through endogenous fermentation within the digestive system.[1] [2] Numerous cases have been documented in the medical literature.[3] One gastrointestinal organism, Saccharomyces cerevisiae, has been identified as a pathogen for this condition.

Claims of endogenous fermentation of this type have been used as a defense against drunk driving charges.[4][5]

One case went undetected for 20 years.[6]

It has also been investigated, but eliminated, as a possible cause of sudden infant death syndrome.[7]

The antifungal drug fluconazole can be effective treatment for the condition since the drug is capable of killing Saccharomyces cerevisiae in the gastrointestinal tract.[2]

The effects of the disease can have profound effects on everyday life; as well the recurring side effects of dizziness, dry mouth, hangovers, disorientation, irritable bowel syndrome, chronic fatigue syndrome, which can lead to other health problems such as depression and anxiety - the random state of intoxication can lead to personal difficulties and the relative obscurity of the condition can also make it hard to seek treatment. Usually the effects of the condition can be alleviated through a special very low-carbohydrate diet[8]

References

  1. ↑ Michaeleen Doucleff (September 17, 2013). "Auto-Brewery Syndrome: Apparently, You Can Make Beer In Your Gut". NPR.
  2. ↑ 2.0 2.1 Cordell, Barbara; McCarthy, Justin (2013). "A Case Study of Gut Fermentation Syndrome (Auto-Brewery) with Saccharomyces cerevisiae as the Causative Organism". International Journal of Clinical Medicine. pp. 309–312. doi:10.4236/ijcm.2013.47054.
  3. ↑ Kaji, H.; Asanuma, Y.; Yahara, O.; Shibue, H.; Hisamura, M.; Saito, N.; Kawakami, Y.; Murao, M. (1984). "Intragastrointestinal Alcohol Fermentation Syndrome: Report of Two Cases and Review of the Literature". Journal of the Forensic Science Society 24 (5): 461–471. doi:10.1016/S0015-7368(84)72325-5. PMID 6520589.
  4. ↑ Logan BK, Jones AW (July 2000). "Endogenous ethanol 'auto-brewery syndrome' as a drunk-driving defence challenge". Medicine, Science, and the law. Retrieved 2013-02-27.
  5. ↑ Cecil Adams (October 20, 2006). "Designated drunk: Can you get intoxicated without actually drinking alcohol?". The Straight Dope. Retrieved 2013-02-27.
  6. ↑ Gazette, Evening (Oct 7, 2013). "Auto-brewery syndrome: Teetotal Teesville man can't stay sober as everything he eats turns to alcohol". Retrieved 22 April 2014.
  7. ↑ P. Geertinger MD, J. Bodenhoff, K. Helweg-Larsen, A. Lund (1982-09-01). "Endogenous alcohol production by intestinal fermentation in sudden infant death". Zeitschrift für Rechtsmedizin. Springer-Verlag. Retrieved 2013-02-27.
  8. ↑ VICE (February 11, 2014). "The Man Who Is Drunk All the Time Because His Body Produces Its Own Alcohol". Retrieved 19 November 2014.