Any problems he had previously weren't reported and analysed in the article. A "healthy" diet for 3 years doesn't miraculously erase his past. To suddenly go into a divergent new shock diet without a slow adjustment period could have the body reacting in ways that were unforeseen as a way of protecting itself.
I'm not suggesting, in the least, that 40 teaspoon of a sugar every single day is good for anyone(LOL). It just seems that lots of people in that range would have off days where they hit that high for a day or two... followed by lower sugar intakes for several days (giving the body time to heal or adjust).
It just reminds me of the "Deadly Facts about Water" meme: