Auto-brewery syndrome is a rare condition in which gut fungi create alcohol through fermentation.
A 50-year-old woman who visited hospital seven times with slurred speech and extreme tiredness, only to be discharged with a diagnosis of being drunk – despite saying she had not been drinking – had a rare condition which gave her the appearance of being intoxicated.
Researchers say awareness of this syndrome – which has social, legal, and medical consequences – is essential for proper diagnosis and management. She had been on several antibiotic courses for recurrent urinary tract infections alongside a proton pump inhibitor to reduce the amount of acid in her stomach.After each hospital visit the woman was discharged with the diagnosis of alcohol intoxication, despite her reports of no alcohol intake, which her family confirmed.
However, at her seventh visit the emergency doctor considered a diagnosis of auto-brewery syndrome, and after being prescribed some medication, she was referred to a specialist.
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