You could get caught driving sober and be in for the same treat, depending on the vagaries of the breathalyzer and your genetics
Are you referring to the rare condition where brewers’ yeast colonizes peoples’ gut and ferments carbohydrates into alcohol in vivo?
https://www.nytimes.com/2019/11/03/business/drunk-driving-br...
The breath test is, I think (I am not a lawyer) insurance that there was reasonable suspicion of the person being drunk, not final proof of anything.
An arrest isn't a conviction. Police don't hand down these judgments.
I think your unstated assumption is that the level of the condition that causes health problems and/or a diagnosis is the same level that would mess with breathalyzers. It could be much less.