Thursday, September 19, 2013

The most awesome medical condition, ever

Auto-Brewery Syndrome: Apparently, You Can Make Beer In Your Gut : The Salt : NPR

This story is so remarkable, I want to re-print the whole thing.   But here's just half of it:
A 61-year-old man — with a history of home-brewing — stumbled into a Texas emergency room complaining of dizziness. Nurses ran a Breathalyzer test. And sure enough, the man's blood alcohol concentration was a whopping 0.37 percent, or almost five times the legal limit for driving in Texas.

There was just one hitch: The man said that he hadn't touched a drop of alcohol that day.

"He would get drunk out of the blue — on a Sunday morning after being at church, or really, just anytime," says , the dean of nursing at Panola College in Carthage, Texas. "His wife was so dismayed about it that she even bought a Breathalyzer."

Other medical professionals chalked up the man's problem to "closet drinking." But Cordell and Dr. Justin McCarthy, a gastroenterologist in Lubbock, wanted to figure out what was really going on.

So the team searched the man's belongings for liquor and then isolated him in a hospital room for 24 hours. Throughout the day, he ate carbohydrate-rich foods, and the doctors periodically checked his blood for alcohol. At one point, it rose 0.12 percent.

Eventually, McCarthy and Cordell pinpointed the culprit: an overabundance of brewer's yeast in his gut.
That's right, folks. According to Cordell and McCarthy, the man's intestinal tract was acting like his own internal brewery.

The patient had an infection with Saccharomyces cerevisiae , Cordell says. So when he ate or drank a bunch of starch — a bagel, pasta or even a soda — the yeast fermented the sugars into ethanol, and he would get drunk. Essentially, he was brewing beer in his own gut. Cordell and McCarthy the case of "auto-brewery syndrome" a few months ago in the International Journal of Clinical Medicine.
This makes me wonder whether some college students will try some experiments on themselves.  Perhaps if you neutralise stomach acid first with an antacid, then take a tablespoon or two of freeze dried yeast, followed by some starch....

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