Overview

• The man was found with a blood alcohol level more than four times the legal limit but had not consumed alcohol.
• Auto-brewery syndrome, or ABS, is a metabolic condition where gut microbes ferment carbohydrates into alcohol.
• Medical experts and advocacy groups highlight the lack of awareness and legal recognition of ABS.
• Treatment for ABS includes dietary changes and antifungal medications to manage fermentation.
• Cases of ABS are rare but likely underdiagnosed, with fewer than 100 reported cases worldwide.