title: [Severe metabolic alkalosis and beer drinking].
abstract: We describe a case report with moderately low plasma sodium level and predominant metabolic alkalosis. Others have reported acid-base balance disorders, although no clear pathophysiological explanation has been put forward. We hypothesize that, combine with poor protein intake, mild hyperosmolar beer leads to a water intoxication syndrome, whereas strong hyperosmolar beer intake more likely induces hypochloremic metabolic alkalosis.
authors.affiliation: Département d'anesthésie-réanimation, hôpital St Roch. 5, rue Pierre Dévoluy, 06000 Nice, France. nicolasboisseau@yahoo.fr
authors.forename: N
authors.initials: N
authors.lastname: Boisseau
authors.forename: M
authors.initials: M
authors.lastname: Belhoula
authors.forename: M
authors.initials: M
authors.lastname: Raucoules-Aimé
authors.forename: D
authors.initials: D
authors.lastname: Grimaud
mesh_terms: D000328:Adult; D000471:Alkalosis / Q000209:etiology* / Q000628:therapy; D001515:Beer / Q000009:adverse effects*; D005260:Female; D006801:Humans; D014869:Water Intoxication / Q000209:etiology