0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Munchausen Syndrome by Proxy

LARRY K. PICKERING, MD; STEVE KOHL, MD
Am J Dis Child. 1981;135(3):288-289. doi:10.1001/archpedi.1981.02130270080034.
Text Size: A A A
Published online

Sir.—The report by Paperny et al (Journal 1980;134:794-795) described a teenage girl who was hospitalized 23 times for numerous medical problems, including recurrent septic arthritis. These episodes eventually were found to be self-induced and she was categorized as having Munchausen syndrome. A recent clinicopathologic exercise1 described a 40-year-old woman with Munchausen syndrome manifested by intermittent polymicrobial bacteremia and fever due to self-injection of bacteriologically contaminated material. The intentional injection of contaminated material into others or oneself is recognized in adults1-3; however, the extent of this abhorrent behavior in children is unknown. In younger pediatric patients, due to the age and lack of necessary medical knowledge, inoculation of contaminated material is not self-inflicted, but represents a bizarre form of child abuse.

Report of a Case.—A child, 4 years 8 months old, was hospitalized on numerous occasions for recurrent, severe infections complicated by a concurrent, secondary immune deficiency

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();