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Fekal Kontaminasyon ile Ortaya Çıkan Munchausen by Proxy Sendromu: Bir Olgu Sunumu

Ayşe ŞAHİN, Nazan DALGIÇ, Atilla TEKİN, Jülide KENAR, Bekir YÜKÇÜ
2020; 31(3): 212-215
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SUMMARY
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 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.
 
Key Words: Munchausen syndrome by proxy, infant, polymicrobialbacteraemia