scholarly journals Recognition and management of factitious disorder

Prescriber ◽  
2015 ◽  
Vol 26 (21) ◽  
pp. 37-39
Author(s):  
Adam Burnel
Keyword(s):  
Factitious Disorder

A case of factitious disorder presenting as plumbism

1987 ◽  
Vol 146 (5) ◽  
pp. 264-266 ◽  
Author(s):  
Gloria Johnson ◽  
Brian Mullan ◽  
Gordon Rich
Keyword(s):  
Factitious Disorder

scholarly journals Recurrent Mycobacterium chelonae Skin Infection Unmasked as Factitious Disorder Using Bacterial Whole Genome Sequence Analysis

2020 ◽  
Vol 7 (11) ◽  
Author(s):  
Sarah Flohr ◽  
Alban Ramette ◽  
Philipp K A Agyeman ◽  
Andrea Duppenthaler ◽  
Cordula Scherer ◽  
...  
Keyword(s):  
Sequence Analysis ◽  
Genome Sequence ◽  
Surgical Therapy ◽  
Skin Infection ◽  
Whole Genome Sequence ◽  
Factitious Disorder ◽  
Whole Genome ◽  
Mycobacterium Chelonae ◽  
Genome Sequence Analysis ◽  
Adequate Therapy

Abstract Mycobacterium chelonae infections usually resolve with adequate therapy. We report the case of an adolescent with a chronic and progressive M chelonae infection refractory to combined antimicrobial and surgical therapy. Whole genome sequence analysis of consecutive isolates distinguished reinfection from recurrence and contributed to the diagnosis of a factitious disorder.

The girl who cried wolf: A literature review and case report of pediatric factitious disorder

2021 ◽  
pp. 135910452199674
Author(s):  
Ryan Ruppert ◽  
Kai-Hong Jeremy Mao
Keyword(s):  
Adolescent Girl ◽  
Clinical Characteristics ◽  
Factitious Disorder ◽  
Munchausen Syndrome ◽  
High Quality ◽  
Healthcare Expenditures ◽  
Younger Patients ◽  
General Acceptance ◽  
Iatrogenic Complications ◽  
Pediatric Populations

Pediatric presentations of factitious disorder (Munchausen syndrome) remain underdiagnosed and poorly understood compared to adult cases. The purpose of this study is to review the current literature on child and adolescent factitious disorder in order to better understand the differences between pediatric and adult presentations of this disorder. We also present the case of an adolescent girl with factitious disorder; her hospital course draws attention to the excessive healthcare expenditures and risk of iatrogenic complications associated with this diagnosis. We utilized MEDLINE and Google Scholar databases to conduct our review. Despite the limited number of high-quality studies analyzing pediatric presentations of factitious disorder, our review yielded several important findings. Studies suggest that the general acceptance of somatization as a common way for young people to manifest emotional stress may explain the under-diagnosis of this disorder in pediatric populations. Studies also highlighted differences in the clinical characteristics of factitious disorder when patients are stratified by age; most notably, younger patients are more willing to admit intentional falsifications when confronted and more likely to accept treatment, making them a potentially more effective target for intervention.

Abstract 14767: Thrombolysis of Stroke Mimics via Telestroke

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Ravyn Howell ◽  
Randheer S Yadav ◽  
Sushil Lakhani ◽  
Sharon Heaton ◽  
Karen L Wiles ◽  
...  
Keyword(s):  
Final Diagnosis ◽  
National Institutes Of Health ◽  
Factitious Disorder ◽  
Emergency Rooms ◽  
Stroke Mimics ◽  
Intravenous Tissue Plasminogen Activator ◽  
Stroke Diagnosis ◽  
History Of ◽  
Stroke Mimic ◽  
Similar Episode

Introduction: Telestroke allows stroke expertise for thrombolysis decision making remotely using high-quality bidirectional audiovisual technology. Hypothesis: Intravenous tissue plasminogen activator (IVtPA) is administered via telestroke network to a proportion of patients without a stroke diagnosis (i.e. stroke mimic) Methods: Our academic comprehensive stroke program telestroke program includes 26 spoke Emergency rooms (ERs) through which IVtPA is administered throughout central Ohio. From July 1, 2016 to Sept 30, 2017, nearly all patients who received IVtPA at the outside hospital telestroke ERs were transferred to our institution for post-IVtPA care. Data was collected on final diagnosis, demographics, National Institutes of Health Stroke Scale (NIHSS), door to needle (DTN) time, and outcomes. Results: Among 270 acute ischemic stroke patients who received IVtPA via telestroke, we identified 64 (23.7%) with a stroke mimic diagnosis. Stroke mimics were younger (mean age 56.4 vs 68.2, p <0.0001), more likely female (60.9% vs 45.6%, p 0.03), and had higher DTN times (85.3 vs 69.9 minutes, p 0.0008). The increase in DTN was due to longer time to recommend by the telestroke neurologist for stroke mimic (65.0 vs 53.2 minutes, p 0.0034). The stroke mimic diagnosis included Migraine 26 (40.6%), Factitious disorder 12 (18.8%), Encephalopathy 7 (10.9%), and Unmasking 6 (9.4%). The stroke mimics did not differ from each other based upon initial NIHSS, DTN, or sex. Compared to the other stroke mimics, Migraine and Factitious disorder patients were younger (51.2 vs 63.9 years, p <0.0006), more likely to have a personal history of migraines (42.1% vs 0%, p < 0.0001), and more likely to have functional exam findings (42.1% vs 3.8%, p 0.0007). There were no hemorrhagic complications in the stroke mimic patients. Among all stroke mimics, 26 (40.6%) had a history of similar prior episodes and 10 (15.6%) would have future recurrence of another similar episode, with 2 patients receiving IVtPA again in the future (1 Migraine and 1 Factitious disorder). Conclusions: In a tertiary academic telestroke network, nearly one-quarter of patients receive IVtPA for a non-stroke diagnosis, with migraine and factitious disorder being the most commonly seen.

Foreign Body Granulomatosis in a Patient With a Factitious Disorder

2011 ◽  
Vol 18 (2) ◽  
pp. 179-180 ◽  
Author(s):  
Fares Georges Mouchantaf ◽  
Anthony C. Campagna ◽  
Carla R. Lamb
Keyword(s):  
Foreign Body ◽  
Factitious Disorder

Personality profiles of factitious disorder imposed by mothers: A comparative analysis

2017 ◽  
Vol 14 (2-3) ◽  
pp. 191-208
Author(s):  
Lauren B. Day ◽  
Jan Faust ◽  
Ryan A. Black ◽  
Deborah O. Day ◽  
Anita Alexander
Keyword(s):  
Comparative Analysis ◽  
Factitious Disorder ◽  
Personality Profiles
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