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Infectious Diseases Presentations of Mmchausen Syndrome by Proxy: Case Report and Review of the Literature

Division of Pediatrics and Adolescent Medicine, Cleveland Clinic Children's Hospital, Cleveland Clinic Foundation, Cleveland, Ohio; Section of Pediatric Infectious Diseases, Cleveland Clinic Children's Hospital, Cleveland Clinic Foundation, Cleveland, Ohio

Kathleen W. Lawry, MD

Rita Steffen, MD

Division of Pediatrics and Adolescent Medicine, Cleveland Clinic Children's Hospital, Cleveland Clinic Foundation, Cleveland, Ohio

Camille Sabella, MD

Division of Pediatrics and Adolescent Medicine, Cleveland Clinic Children's Hospital, Cleveland Clinic Foundation, Cleveland, Ohio; Section of Pediatric Infectious Diseases, Cleveland Clinic Children's Hospital, Cleveland Clinic Foundation, Cleveland, Ohio

Munchausen syndrome by proxy is a form of abuse, usually of a child by a parent, in which a factitious illness is reported or produced in the child, resulting in unnecessary medical evaluations and treatments. A dramatic case of a 17-month-old infant with recurrent polymicrobial bacteremia prompted a review of cases diagnosed by the Pediatric Infectious Diseases consultation service at our referral children's hospital and a review of the infectious diseases presentations in the medical literature. The infectious diseases presentations of the syndrome as well as criteria for the diagnosis are reviewed and discussed.

Clinical Pediatrics, Vol. 37, No. 3, 179-185 (1998)
DOI: 10.1177/000992289803700304


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