Munchausen Syndrome in Teenager

  • Laura Ķevere (Speaker)
  • Kristīna Mackeviča (Co-author)
  • Diāna Stepanova-Mihailova (Co-author)
  • Santa Purviņa (Co-author)

Activity: Talk or presentation types › Poster presentation

Description

The girl was first admitted to Children’s Clinical University Hospital at 16 years of age. She misled medical staff for 2 years with fake, simulated symptoms of various illnesses that required specific tests, exams, surgical manipulations and medications.  . First patient was hospitalized in 2018 at Liepaja hospital with severe head pain, migraine with aura attack. Since then, the patient developed desire to get the attention of the medical staff, purposefully triggered episodes of fainting by hyperventilating herself. In 2019, patient hospitalized with severe abdominal pain, wearing makeup to appear sicker, moved the crawls, mimicking severe pain. She has taken diarrhea medicines from home and started taking them in a hospital, therefore she has been investigated in the infection unit for a long time. After returning to hospital month later, she hasn't eaten or drunk for a week, didn't sleep at night to “look in a more horrific state, more severely ill” and then had special overeating and complaining to her parents about stomach aches. At the beginning of 2020, the girl was re-hospitalized. On this occasion, she received medication through the syringe and started saving the syringes herself, later using them to introduce her saliva into the I/v catheter. Exams show Raoultella arnihinolytica growing in the blood, which was also a key factor in thinking about Munchausen syndrome and prescribing psychiatrist counseling. Within a year and a half, 12 hospital admissions in the psychiatric profile unit due to self-destructive behavior. There were 12 endoscopy examinations within 2 years due to ingestion of foreign bodies (pencils, candy packs, plastic spoons, broken pens, masks, gauze, stones, glasses, batteries). 38 pediatric surgeons’ consultation or surgical manipulations were committed. There have been 4 consiliums, received 26 CBT sessions, physiotherapy course, has received medication therapy, however, without significant positive dynamics.. ".". "."
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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