Munchausen syndrome revealed by subcutaneous limb emphysema: a case report

Koufagued, Kaldadak; Chafry, Bouchaib; Benyass, Youssef; Abissegue, Y.; Benchebba, Driss; Bouabid, Salim; Chagar, B.

doi:10.1186/s13256-015-0649-x

Cited by 11 publications

(10 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Benign SE has been described after surgical procedures [5,6], penetrating wounds [4,7,8], pneumothorax [9] or pneumomediastinum [10], an insect bite [11] or due to factitious manipulations [12][13][14][15]. The term NSTI describes a group of limb-and potentially lifethreatening infections of the skin, soft tissues and muscles, which tend to progress rapidly throughout the fascia planes.…”

Section: Discussionmentioning

confidence: 99%

“…The literature describes some similar cases, in which most patients were adolescents or young adults, often with an underlying psychiatric condition. The patients typically present with unexplained regional subcutaneous crepitus and puncture marks, sometimes with bilateral or recurrent presentation [12][13][14][15]. It is critical to recognize warning signs in the history and one should look for puncture marks to support the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Progressive subcutaneous emphysema of unknown origin: a surgical dilemma

Roeck

Assche

Verhoeven

et al. 2018

Acta Chirurgica Belgica

View full text Add to dashboard Cite

The lack of apparent causes, the unexplained puncture marks and psychiatric comorbidity suggests the possibility of subcutaneous emphysema due to factitious manipulations. Patients with subcutaneous emphysema who remain clinically stable, have minimal pain and no significant inflammatory changes could be treated conservatively. Close clinical monitoring is essential to avoid delayed intervention in case of a necrotizing soft tissue infection.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Progressive subcutaneous emphysema of unknown origin: a surgical dilemma

Roeck

Assche

Verhoeven

et al. 2018

Acta Chirurgica Belgica

View full text Add to dashboard Cite

show abstract

“…The features that distinguish Munchausen from other types of factitious disorders include presentations that are more alarming and refractory with worse outcomes. Many patients with Munchausen syndrome present with complaints of bleeding and as it is an alarming symptom, it mostly leads to extensive investigations and hospitalization [ 3 - 4 ]. To diagnose a case of factitious disorder, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) lists the following criteria [ 5 ]:…”

Section: Discussionmentioning

confidence: 99%

“…Most doctors are not suspicious and focus on the acute presentation and the likely management. Such patients are subjected to unnecessary medical interventions and hospitalizations, which can be more detrimental in the long run [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of Munchausen Syndrome Presenting with Hematemesis: A Case Report

Aadil¹,

Faraz²,

Anwar³

et al. 2017

Cureus

View full text Add to dashboard Cite

Munchausen syndrome (MS) was first reported in 1951 by Richard Alan John Asher as a factitious disorder. It is a condition in which the patient intentionally produces symptoms to assume a sick role and gain medical attention. Underdiagnosis of this disorder results in the unnecessary use of medical resources, i.e. unnecessary medical tests and evaluations. This makes it one of the most challenging diagnosis in any medical set up. We present this rare case of a patient with chronic factitious disorder who presented to the emergency with hematemesis. The patient was successfully treated with psychotherapy with no recurrence. It is the need of the hour to create awareness amongst the medical and nonmedical population about factitious disorders so that they can easily be diagnosed and treated with efficiency. Further research is needed to find the risks leading to this syndrome and discover the cultural and social aspects of this disease, which may help us explore treatment strategies and avoid unnecessary tests and treatment.

show abstract

“…Bleeding is one of the main presenting features of Munchausen syndrome. As it is an alarming and more dramatic symptom, extensive investigations and numerous hospitalizations are carried out for diagnosis 3 .…”

Section: Case Reportmentioning

confidence: 99%

Munchausen Syndrome Presenting with Bleeding per Nose, Ears, Eyes and Mouth1

Bhuiyan¹,

Islam²,

Chowdhury³

et al. 2020

J. Armed Forces Med. Coll.

View full text Add to dashboard Cite

In 1951, Richard Alan John Asher first reported Munchausen syndrome as a factitious disorder. The essential feature of this disorder is that patients feign physical symptoms to get admission in a hospital. These patients may feign symptoms of disorder of any organ system. Even experienced clinicians are deceived by these symptoms and histories presented by these patients. Usually they know which of the symptoms and diagnoses usually require hospital admission or medication. Because of rarity of this disease and lack of knowledge and awareness even among the physicians, often misdiagnosis occur which results in unnecessary use of medical tests and evaluations. For these reasons this is one of the toughest and challenging diagnoses in any medical set up. We present this rare case of a patient who presented to the department of emergency, ENT and Eye repeatedly with Bleeding per nose, ears, eyes and mouth for 8 months. The patient was successfully treated, initially with psychotropic then psychotherapy with no recurrence. This interesting and rare case is presented to create awareness amongst all specially to medical population about Munchausen syndrome so that they can be diagnosed easily and treated with efficiency as well as misdiagnosis and unnecessary use of medical resources can be avoided. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 237-239

show abstract

Munchausen syndrome revealed by subcutaneous limb emphysema: a case report

Cited by 11 publications

References 7 publications

Progressive subcutaneous emphysema of unknown origin: a surgical dilemma

Progressive subcutaneous emphysema of unknown origin: a surgical dilemma

A Case of Munchausen Syndrome Presenting with Hematemesis: A Case Report

Munchausen Syndrome Presenting with Bleeding per Nose, Ears, Eyes and Mouth1

Contact Info

Product

Resources

About