infections usually resolve with adequate therapy. We report the case of an adolescent with a chronic and progressive 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.
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http://dx.doi.org/10.1093/ofid/ofaa506 | DOI Listing |
J Clin Apher
February 2025
Department of Laboratory Medicine and Pathology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Cureus
January 2025
Department of Neurology, Unidade Local de Saúde da Arrábida, Setúbal, PRT.
Munchausen syndrome (MS), a complex form of factitious disorder (FD), presents significant diagnostic and management challenges in emergency and hospital settings. Patients deliberately fabricate or induce symptoms to gain medical attention, often leading to unnecessary interventions, resource misallocation, and iatrogenic harm. This study highlights the diagnostic complexity and the need for multidisciplinary management of Munchausen syndrome through a detailed case report and literature review.
View Article and Find Full Text PDFChildren (Basel)
December 2024
Department of Paediatrics, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Munchausen syndrome by proxy (MSBP) or factitious disorder imposed on another (FDIA) is a bizarre psychiatric entity, consisting of the fabrication of symptoms and alteration of laboratory tests by a caregiver. It is considered a serious form of child abuse. Alarm signs are frequent medical visits and strange symptoms that are never objectified during hospitalization.
View Article and Find Full Text PDFCureus
January 2025
Occupational Health, Tasmanian Occupational & Environmental Medicine, Hobart, AUS.
This article introduces the evitatious phenomenon, with a proposed research criteria for behaviors induced by stress-related avoidance in occupational and psychiatric settings. Evitatious Phenomenon is characterized by a conscious desire to avoid stressors, leading to unconscious behaviors that inadvertently result in avoidance. Unlike malingering or factitious disorder, evitatious phenomenon is not marked by intentional deception but rather by an unconscious process, filling a gap in the current understanding of stress-induced behaviors.
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