Leal Ema, Brito Maria João, Gouveia Catarina, Varandas Luís, Ferreira Gonçalo Cordeiro
Unidade de Infecciologia, Área de Pediatria Médica, Hospital de Dona Estefânia, Lisboa, Portugal.
Acta Med Port. 2011 Mar-Apr;24(2):375-8. Epub 2011 May 20.
Iatrogeny is a pathologic condition caused in a patient in the different stages of a medical act. In the United States, it is the fourth cause of death but in Portugal, data are not yet available. Though different from medical error, it is still a taboo subject for health care providers. The authors report a case of relational, diagnostic and therapeutic iatrogeny with serious consequences for the patient. Doctors have a fundamental role in reducing morbidity and mortality due to iatrogenic causes; they have the duty to question and reconsider diagnosis and treatments, keeping an alert attitude and self-criticism in order to identify potential iatrogenic interventions or to correct it as soon as possible.