Martínez Salazar F, Solera J, Cebrián D, Crespo M D, García-Blázquez R, Puras A
Servicio de Medicina Interna, Hospital General, Albacete.
Med Clin (Barc). 1993 Mar 20;100(11):417-9.
Self-induced infections are a special form of factitious disease. They are characterized by the autoinoculation of contaminated substances or bacterial cultures which may lead to cutaneous infections, bacteremias, or arthritis by various germs. The conditions produced are difficult to diagnose and may lead to multiple operations, and sometimes mutilations or death of the patient. Herewith, a patient who, over a period of 10 months, presented 4 episodes of bacteremia and cutaneous abscess in which Brucella melitensis was isolated is described. In addition, during the second admission, the patient had factitious fever. Despite the evidence of self induced infection, the patient denied autoinoculation however, following confrontation with the facts and supportive psychotherapy the patient has not presented any further episodes after 6 months of follow up. Although the microorganisms involved in this type of disorders are various, this is the first case described in the literature of self-induced infections by Brucella melitensis.
自我诱导感染是一种人为疾病的特殊形式。其特点是自体接种受污染物质或细菌培养物，这可能会导致各种病菌引发皮肤感染、菌血症或关节炎。所产生的病症难以诊断，可能会导致多次手术，有时还会导致患者致残或死亡。在此，描述了一名患者，在10个月的时间里出现了4次菌血症和皮肤脓肿发作，从中分离出了羊布鲁氏菌。此外，在第二次入院期间，该患者出现了人为发热。尽管有自我诱导感染的证据，但患者否认自体接种。然而，在面对事实并接受支持性心理治疗后，经过6个月的随访，该患者未再出现任何发作情况。虽然这类疾病涉及的微生物多种多样，但这是文献中描述的首例由羊布鲁氏菌引起的自我诱导感染病例。
