Where Reality and Fantasy Collide—Prolonged Fever to Munchausen Syndrome by Proxy
2024

Munchausen Syndrome by Proxy: A Case Study

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Vlad Raluca Maria, Dobritoiu Ruxandra, Turenschi Alina, Pacurar Daniela

Primary Institution: Department of Paediatrics, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

Hypothesis

How can prolonged fever in a child be linked to Munchausen syndrome by proxy?

Conclusion

The case highlights the challenges in diagnosing Munchausen syndrome by proxy, as the child's symptoms were never observed during hospitalization.

Supporting Evidence

  • The child had multiple hospital visits for unexplained fever and symptoms.
  • The mother developed a close relationship with the medical staff.
  • Symptoms reported by the mother were never observed by medical personnel.

Takeaway

A mother made her child appear sick by inventing symptoms, which is a serious form of child abuse called Munchausen syndrome by proxy.

Methodology

The case involved repeated hospital admissions and extensive medical investigations to rule out various diseases.

Potential Biases

The mother's calm demeanor and medical knowledge may have influenced the medical staff's perceptions and decisions.

Limitations

The diagnosis of Munchausen syndrome by proxy is difficult due to the lack of observable symptoms during medical evaluations.

Participant Demographics

The patient was a 3-year and 8-month-old boy; the mother had a medical background.

Digital Object Identifier (DOI)

10.3390/children11121482

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