Fetor Hepaticus 'Breath of the Dead'
Fetor hepaticus , commonly referred to as "breath of the dead," is a disorder where a patient's breath has a sweet-musky, and occasionally faecal, aroma. It is connected to portosystemic shunts and portal hypertension. Fetor Hepaticus: Fetor hepaticus, one of the clinical symptoms of hepatic encephalopathy , is a late indicator of liver failure in which portal hypertension with portosystemic shunting allows thiols to enter directly into the lungs generating a sweet, musty, or even faintly faecal scent of the breath. Ammonia and ketones in the breath are two other potential causes. More than 5.5 million Americans and hundreds of millions of individuals worldwide are affected by chronic liver disease and cirrhosis. Dimethyl sulphide and ketones (acetone), to a lesser extent, have been linked to fetor hepaticus, suggesting that there may be an objective, noninvasive way to detect liver failure. In addition, some researchers believe that the volatile dimethyl sulphide...