acquired metabolic disease auto-brewery syndrome https://www.malacards.org/card/auto_brewery_syndrome MONDO:0971031 MEDGEN:1853294 UMLS:C4552195 DOID:0081455 An acquired metabolic disease that is characterized by the endogenous production of ethanol produced through endogenous fermentation by fungi or bacteria in the gastrointestinal system, oral cavity, or urinary system and typically presents with the signs of alcohol intoxication.