Castor B, Ursing J, Aberg M, Pålsson N
Department of Infectious Diseases, University of Lund, General Hospital, Malmö, Sweden.
Scand J Infect Dis. 1990;22(2):227-32. doi: 10.3109/00365549009037907.
During 19 years an assistant nurse, now 35 years old, has been repeatedly treated for several malingered and self-induced disorders escalating to self-mutilation. An ulcer of her right leg never epithelialised in spite of various local treatments and surgical intervention. During repeated attacks of self-induced septicemia altogether 11 different bacterial species were isolated; on 8 occasions Rhodococcus equi. The septicemias were successfully treated with antibiotics. The underlying psychiatric problem, a borderline personality disorder, has not been possible to treat in a conventional manner. Probably due to collaboration between the plastic surgeon and the psychiatrist she has had fewer attendances and shorter hospital stays lately. Her prognosis is still dubious as regards further self-mutilation and other expressions of self-destructive behaviour.
一位35岁的助理护士在19年里多次因诈病和自我诱发的疾病接受治疗，病情不断升级，甚至发展到自我伤害。尽管进行了各种局部治疗和手术干预，她右腿的溃疡始终未能上皮化。在多次自我诱发败血症发作期间，共分离出11种不同的细菌；其中8次分离出马红球菌。这些败血症通过抗生素治疗成功治愈。潜在的精神问题，即边缘型人格障碍，无法以传统方式治疗。可能由于整形外科医生和精神科医生的合作，她最近的就诊次数减少，住院时间缩短。就进一步的自我伤害和其他自我毁灭行为的表现而言，她的预后仍然不明朗。
