Dissecting the causal link between transient hypoglycemic coma and gut-brain axis imbalance – implications for diarrhea pathogenesis: A case report

This case illuminates a novel, self-limiting cerebro-enteral pathway activated by hypoglycemia, which we hypothesize is mediated by blood-brain barrier-disruption and corticotropin-releasing hormone-driven neurohumoral cascades. It underscores the need to consider central nervous system injury in the differential diagnosis of unexplained acute diarrhea and highlights the necessity for monitoring gastrointestinal symptoms post-hypoglycemia.

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Publication Details

Journal
Medicine
Published
2026-01-23
DOI
https://doi.org/10.1097/md.0000000000047268
Primary Topic
Clostridium difficile and Clostridium perfringens research
Type
article
Field-Weighted Citation Impact
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article

Dissecting the causal link between transient hypoglycemic coma and gut-brain axis imbalance – implications for diarrhea pathogenesis: A case report

J. Liu, Xueyong Lou, Yanfen Liu
Medicine
Clostridium difficile and Clostridium perfringens research
article

Dissecting the causal link between transient hypoglycemic coma and gut-brain axis imbalance – implications for diarrhea pathogenesis: A case report

J. Liu, Xueyong Lou, Yanfen Liu
article en

Abstract

This case illuminates a novel, self-limiting cerebro-enteral pathway activated by hypoglycemia, which we hypothesize is mediated by blood-brain barrier-disruption and corticotropin-releasing hormone-driven neurohumoral cascades. It underscores the need to consider central nervous system injury in the differential diagnosis of unexplained acute diarrhea and highlights the necessity for monitoring gastrointestinal symptoms post-hypoglycemia.

MedicineVol. 105(4)
Taixing People's Hospital (CN), Jinhua Academy of Agricultural Sciences (CN), Jinhua Central Hospital (CN)
Good health and well-being
Openalex Percentile: Top 78%
Clostridium difficile and Clostridium perfringens research
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