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Endogenous ethanol fermentation in a child with short bowel syndrome

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.