Zuger A, O'Dowd M A
Department of Medicine, Montefiore Medical Center, New York 10467.
Clin Infect Dis. 1992 Jan;14(1):211-6. doi: 10.1093/clinids/14.1.211.
A 31-year-old cachectic intravenous drug user received treatment at in- and outpatient AIDS care facilities for almost one year before the diagnosis of Munchausen syndrome was established. Cases of factitious AIDS have been reported with increasing frequency since the onset of the AIDS epidemic. Patients typically give a complex history of opportunistic infections and present with acute neurological or psychiatric complaints. Few of these patients have a history of Munchausen syndrome. Most are members of groups at high risk for human immunodeficiency virus (HIV) infection and are thus at risk for actually developing the conditions they feign. As multidisciplinary care of HIV-infected patients becomes increasingly broad-based, technical, and expensive, health care providers should be aware of the phenomenon of factitious AIDS. Judicious confirmation of medical history and HIV serologic test results should not be overlooked in clinical facilities that are oriented toward treatment of HIV-infected patients.
一名31岁的消瘦静脉吸毒者在被诊断为孟乔森综合征之前，在艾滋病门诊和住院护理机构接受了近一年的治疗。自艾滋病流行以来，人为制造艾滋病病例的报告频率不断增加。患者通常会讲述复杂的机会性感染病史，并伴有急性神经或精神方面的主诉。这些患者中很少有人有孟乔森综合征病史。大多数是人类免疫缺陷病毒（HIV）感染高危人群，因此有真正患上他们所伪装疾病的风险。随着对HIV感染患者的多学科护理变得越来越广泛、技术化且昂贵，医疗保健提供者应意识到人为制造艾滋病这一现象。在以治疗HIV感染患者为导向的临床机构中，不应忽视对病史和HIV血清学检测结果的审慎确认。
