Bilateral acute endophthalmitis associated with munchausen syndrome.
作者信息
Rao Prethy, Shah Ankoor R, Michelotti Monica M, Anderson Bradley, Abbey Ashkan M, Jain Nieraj, Stec Lori, Lowe Lori, Johnson Mark W, Williams George A
机构信息
*Department of Ophthalmology, Beaumont Eye Institute, Royal Oak, Michigan; †Associated Retinal Consultants, Royal Oak, Michigan; ‡Department of Ophthalmology, W.K. Kellogg Eye Center, University of Michigan Medical School, Ann Arbor, Michigan; and §Department of Pathology, University of Michigan, Ann Arbor, Michigan.
出版信息
Retin Cases Brief Rep. 2015 Spring;9(2):177-80. doi: 10.1097/ICB.0000000000000132.
PURPOSE
Endophthalmitis is a potentially blinding intraocular infection that requires urgent intervention. Self-inflicted endophthalmitis is rare, difficult to diagnose, and requires a multidisciplinary approach for management. The purpose is to present a rare case of sequential self-inflicted acute endophthalmitis as a feature of Munchausen syndrome.
METHODS
This is a case report reviewing imaging and laboratory studies.
RESULTS
A 42-year-old female patient developed culture-proven acute endophthalmitis sequentially in both eyes with different bacterial strains. There was clear evidence of self-inflicted corneal puncture tracks in the right eye, and during the course of inpatient psychiatric evaluation, the patient admitted to self-inflicted ocular perforations.
CONCLUSION
Patients with Munchausen syndrome often injure themselves as a method of drawing attention, sympathy, or reassurance. Although ocular injuries due to psychiatric disease are known to occur, intraocular injection as a mode of self-injury is extremely rare. A high index of suspicion must be maintained when the reported history and clinical course are inconsistent.
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