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Case report
Case of acute hepatic injury and elevated ethanol levels in a non-alcoholic adult
  1. Jeri Albano1,
  2. Gabriel Dario Patarroyo - Aponte2 and
  3. Ejaz Mahmood1
  1. 1 Internal Medicine, Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA
  2. 2 Pulmonary and Critical Care Medicine, Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA
  1. Correspondence to Dr Jeri Albano; AlbanoJe{at}


Blood ethanol concentration is measured using different techniques. Gas chromatography/mass spectrometry is used in forensic laboratories to measure whole blood ethanol levels while enzyme immunoassay is often used in hospitals to measure serum or plasma ethanol levels. Lactic acidosis can theoretically cause false elevation of blood ethanol levels measured through enzymatic assay because this method measures the reduction of nicotinamide adenine dinucleotide (NAD+) to nicotinamide adenine dinucleotide- hydrogen (NADH) via the action of a dehydrogenase. Here, we present a rare incidence of ethanol level elevation in a non-alcoholic adult male secondary to lactic acidosis from a rare form of large B-cell lymphoma with infiltration of the liver.

  • toxicology
  • liver disease
  • oncology
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  • Contributors All the authors contributed to the conception of the report, drafting and revising as well as obtaining consent from the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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