title: [A case of acute ethanol intoxication with remarkable hyperglycemia by "ume-shu", a Japanese apricot liquor made with a large amount of sugar].
abstract: A 19-year-old woman ingested 2.2 L of "umeshu", a Japanese apricot liquor made with a large amount of sugar. She was unconscious and in shock. The estimated blood ethanol concentration was 607 mg/dl, and the blood glucose level was 576 mg/dl. Because her respiration and circulation was highly suppressed, blood purification was indicated. Continuous hemodiafiltration (CHDF) was performed instead of hemodialysis because her hemodynamics was unstable. After CHDF was instituted, her blood glucose level reduced to normal range, and her consciousness became alert. CHDF was effective in eliminating ethanol and stabilizing her hemodynamics within an early stage. Though acute ethanol intoxication is known to inhibit glucogenesis, leading to hypoglycemia, marked hyperglycemia was seen in this case. Ingestion of a large amount of glucose-rich liquor and being in shock seemed to be the causes of hyperglycemia.
authors.affiliation: Department of Anesthesiology, Department of Emergency and Critical Care Medicine Showa General Hospital.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Sugano
authors.forename: Naoki
authors.initials: N
authors.lastname: Kojima
authors.forename: Susumu
authors.initials: S
authors.lastname: Kaneko
authors.forename: Junro
authors.initials: J
authors.lastname: Ishida
authors.forename: Taizo
authors.initials: T
authors.lastname: Terada
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Inagawa
authors.forename: Yasusei
authors.initials: Y
authors.lastname: Okada
mesh_terms: D000208:Acute Disease; D000328:Adult; D000434:Alcoholic Beverages / Q000032:analysis / Q000506:poisoning*; D000435:Alcoholic Intoxication / Q000209:etiology* / Q000628:therapy; D005260:Female; D005947:Glucose / Q000032:analysis*; D017583:Hemodiafiltration; D006801:Humans; D006943:Hyperglycemia / Q000209:etiology* / Q000628:therapy; D012769:Shock / Q000209:etiology; D016896:Treatment Outcome; D014474:Unconsciousness / Q000209:etiology
chemical_list: D005947:Glucose