A Case of Auto-brewery Syndrome Treated with Micafungin
| Autor: | Jessie Saverimuttu, Prasanna Wickremesinghe, Fahad Malik, Marutha Arulthasan |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Antifungal
Pediatrics medicine.medical_specialty Auto-brewery syndrome medicine.drug_class Infectious Disease 030204 cardiovascular system & hematology antibiotics 03 medical and health sciences 0302 clinical medicine Internal Medicine Medicine Driving under the influence Elevated blood-alcohol gut microbiota alcohol business.industry celebrities Gastroenterology General Engineering Micafungin gut microbiota in health and disease fermenter celebrities.reason_for_arrest probiotics medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.5904 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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