Hypothermia after binge drinking alcohol.

Hypothermia is characterized by an abnormally low body temperature, typically resulting from prolonged cold exposure. However, hypothermia has a broad differential diagnosis that may require thorough evaluation for various etiologies beyond cold exposure. This case report describes a 34-year-old man who presented to the ED with confusion and weakness, ultimately found to be due to hypothermia and hypoglycemia following an episode of binge drinking alcohol and dietary fasting. The pathophysiology and interplay among alcohol use, nutrition, hypoglycemia, and hypothermia is explored, emphasizing the importance of appropriate history collection in cases of hypothermia as well as consideration of conditions within the differential diagnosis beyond environmental exposure.