Munchausen by Proxy Syndrome Associated with Fecal Contamination: A Case Report
Factitious disorder imposed on another, also known as Munchausen Syndrome by Proxy (MSBP), is a serious form of child abuse that is difficult to diagnose. In general, signs and symptoms are fabricated or produced by the mother or the caregiver. Delay in diagnosis may cause serious morbidity and mort...
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| Veröffentlicht in: | Türk psikiyatri dergisi 2020, Vol.31 (3), p.212-215 |
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| container_title | Türk psikiyatri dergisi |
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| creator | Şahin, Ayşe Dalgıç, Nazan Tekin, Atilla Kenar, Jülide Yükçü, Bekir |
| description | Factitious disorder imposed on another, also known as Munchausen Syndrome by Proxy (MSBP), is a serious form of child abuse that is difficult to diagnose. In general, signs and symptoms are fabricated or produced by the mother or the caregiver. Delay in diagnosis may cause serious morbidity and mortality. Here, we present the case of an 18-month-old boy who was admitted to the Paediatric Infection Clinic with a diagnosis of acute gastroenteritis. When on intravenous fluid therapy, he developed high fever and subsequently, polymicrobial growth was determined in his blood. He was later diagnosed with MSBP. Despite being a rare condition, MSBP is a disorder that is often overlooked and may have fatal outcomes. Early diagnosis is very important in this disorder, which is considerably difficult to diagnose. In suspected cases, interdisciplinary team work is necessary to prevent adverse consequences. |
| doi_str_mv | 10.5080/u25018 |
| format | Article |
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In general, signs and symptoms are fabricated or produced by the mother or the caregiver. Delay in diagnosis may cause serious morbidity and mortality. Here, we present the case of an 18-month-old boy who was admitted to the Paediatric Infection Clinic with a diagnosis of acute gastroenteritis. When on intravenous fluid therapy, he developed high fever and subsequently, polymicrobial growth was determined in his blood. He was later diagnosed with MSBP. Despite being a rare condition, MSBP is a disorder that is often overlooked and may have fatal outcomes. Early diagnosis is very important in this disorder, which is considerably difficult to diagnose. In suspected cases, interdisciplinary team work is necessary to prevent adverse consequences.</description><identifier>ISSN: 1300-2163</identifier><identifier>EISSN: 2651-3463</identifier><identifier>DOI: 10.5080/u25018</identifier><identifier>PMID: 32978957</identifier><language>eng</language><publisher>Turkey: Turkiye Sinir ve Ruh Sagligi Dernegi (Turkish Association of Nervous and Mental Health)</publisher><subject>Adult ; Antibiotics ; Bone marrow ; Caregivers ; Case reports ; Child abuse & neglect ; Departments ; Diagnosis, Differential ; Diarrhea ; Emergency medical care ; Endocarditis ; Feces ; Female ; Fever ; Gastroenteritis ; Gastroenteritis - complications ; Gastroenteritis - diagnosis ; Health sciences ; Hospitals ; Humans ; Infant ; Infections ; Intravenous therapy ; Laboratories ; Male ; Mental disorders ; Munchausen Syndrome by Proxy - complications ; Munchausen Syndrome by Proxy - diagnosis ; Munchausen Syndrome by Proxy - psychology ; Pediatrics ; Psychiatry ; Quantitative psychology ; Sepsis ; Vomiting</subject><ispartof>Türk psikiyatri dergisi, 2020, Vol.31 (3), p.212-215</ispartof><rights>Copyright Turkiye Sinir ve Ruh Sagligi Dernegi (Turkish Association of Nervous and Mental Health) Fall 2020</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32978957$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Şahin, Ayşe</creatorcontrib><creatorcontrib>Dalgıç, Nazan</creatorcontrib><creatorcontrib>Tekin, Atilla</creatorcontrib><creatorcontrib>Kenar, Jülide</creatorcontrib><creatorcontrib>Yükçü, Bekir</creatorcontrib><title>Munchausen by Proxy Syndrome Associated with Fecal Contamination: A Case Report</title><title>Türk psikiyatri dergisi</title><addtitle>Turk Psikiyatri Derg</addtitle><description>Factitious disorder imposed on another, also known as Munchausen Syndrome by Proxy (MSBP), is a serious form of child abuse that is difficult to diagnose. In general, signs and symptoms are fabricated or produced by the mother or the caregiver. Delay in diagnosis may cause serious morbidity and mortality. Here, we present the case of an 18-month-old boy who was admitted to the Paediatric Infection Clinic with a diagnosis of acute gastroenteritis. When on intravenous fluid therapy, he developed high fever and subsequently, polymicrobial growth was determined in his blood. He was later diagnosed with MSBP. Despite being a rare condition, MSBP is a disorder that is often overlooked and may have fatal outcomes. Early diagnosis is very important in this disorder, which is considerably difficult to diagnose. In suspected cases, interdisciplinary team work is necessary to prevent adverse consequences.</description><subject>Adult</subject><subject>Antibiotics</subject><subject>Bone marrow</subject><subject>Caregivers</subject><subject>Case reports</subject><subject>Child abuse & neglect</subject><subject>Departments</subject><subject>Diagnosis, Differential</subject><subject>Diarrhea</subject><subject>Emergency medical care</subject><subject>Endocarditis</subject><subject>Feces</subject><subject>Female</subject><subject>Fever</subject><subject>Gastroenteritis</subject><subject>Gastroenteritis - complications</subject><subject>Gastroenteritis - diagnosis</subject><subject>Health sciences</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infections</subject><subject>Intravenous therapy</subject><subject>Laboratories</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Munchausen Syndrome by Proxy - complications</subject><subject>Munchausen Syndrome by Proxy - diagnosis</subject><subject>Munchausen Syndrome by Proxy - psychology</subject><subject>Pediatrics</subject><subject>Psychiatry</subject><subject>Quantitative psychology</subject><subject>Sepsis</subject><subject>Vomiting</subject><issn>1300-2163</issn><issn>2651-3463</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpd0M1LwzAYx_Egiptvf4IEBPFSzXtab6M4FSYT3b2kaco62mQmKdr_3sqmB0_P5cOPhy8AFxjdcpSiu55whNMDMCWC44QyQQ_BFFOEEoIFnYCTEDYIUZFScgwmlGQyzbicguVLb_Va9cFYWA7w1buvAb4PtvKuM3AWgtONiqaCn01cw7nRqoW5s1F1jVWxcfYezmCugoFvZut8PANHtWqDOd_fU7CaP6zyp2SxfHzOZ4tEU0RiQlGlpCEo5bVUSiouONdVVQpOJVUEywxJRnVZEy2wyQhiKaO4RLKsmFaanoKb3ezWu4_ehFh0TdCmbZU1rg8FYUwIiRnjI736Rzeu93Z8blRcjikEzkZ1vVPauxC8qYutbzrlhwKj4qdwsSs8wsv9XF92pvpjv0npN0PBc54</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Şahin, Ayşe</creator><creator>Dalgıç, Nazan</creator><creator>Tekin, Atilla</creator><creator>Kenar, Jülide</creator><creator>Yükçü, Bekir</creator><general>Turkiye Sinir ve Ruh Sagligi Dernegi (Turkish Association of Nervous and Mental Health)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>EDSIH</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>2020</creationdate><title>Munchausen by Proxy Syndrome Associated with Fecal Contamination: A Case Report</title><author>Şahin, Ayşe ; 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In general, signs and symptoms are fabricated or produced by the mother or the caregiver. Delay in diagnosis may cause serious morbidity and mortality. Here, we present the case of an 18-month-old boy who was admitted to the Paediatric Infection Clinic with a diagnosis of acute gastroenteritis. When on intravenous fluid therapy, he developed high fever and subsequently, polymicrobial growth was determined in his blood. He was later diagnosed with MSBP. Despite being a rare condition, MSBP is a disorder that is often overlooked and may have fatal outcomes. Early diagnosis is very important in this disorder, which is considerably difficult to diagnose. In suspected cases, interdisciplinary team work is necessary to prevent adverse consequences.</abstract><cop>Turkey</cop><pub>Turkiye Sinir ve Ruh Sagligi Dernegi (Turkish Association of Nervous and Mental Health)</pub><pmid>32978957</pmid><doi>10.5080/u25018</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Antibiotics Bone marrow Caregivers Case reports Child abuse & neglect Departments Diagnosis, Differential Diarrhea Emergency medical care Endocarditis Feces Female Fever Gastroenteritis Gastroenteritis - complications Gastroenteritis - diagnosis Health sciences Hospitals Humans Infant Infections Intravenous therapy Laboratories Male Mental disorders Munchausen Syndrome by Proxy - complications Munchausen Syndrome by Proxy - diagnosis Munchausen Syndrome by Proxy - psychology Pediatrics Psychiatry Quantitative psychology Sepsis Vomiting |
| title | Munchausen by Proxy Syndrome Associated with Fecal Contamination: A Case Report |
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