[A case of acute ethanol intoxication with remarkable hyperglycemia by "ume-shu", a Japanese apricot liquor made with a large amount of sugar].
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.
Sugano
Takayuki
T
Department of Anesthesiology, Department of Emergency and Critical Care Medicine Showa General Hospital.
Kojima
Naoki
N
Kaneko
Susumu
S
Ishida
Junro
J
Terada
Taizo
T
Inagawa
Hiroshi
H
Okada
Yasusei
Y
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
D005947:Glucose