Endogenous ethanol fermentation in a child with short bowel syndrome
| Autor: | Jan Sjölin, Staffan Meurling, Björn Petrini, Evelyn Jansson-Nettelbladt |
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| Rok vydání: | 2006 |
| Předmět: |
Short Bowel Syndrome
medicine.medical_specialty Saccharomyces cerevisiae Ethanol fermentation Gastroenterology Microbiology Beverages chemistry.chemical_compound Alcohol intoxication Internal medicine Dietary Carbohydrates medicine Humans Blood test Ethanol metabolism Candida Acidosis Ethanol medicine.diagnostic_test business.industry Syndrome General Medicine Short bowel syndrome medicine.disease chemistry Child Preschool Fruit Fermentation Pediatrics Perinatology and Child Health Female medicine.symptom business |
| Zdroj: | Acta Paediatrica. 95:502-504 |
| ISSN: | 0803-5253 |
| DOI: | 10.1080/08035250500501625 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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