Gómez De Terreros I, Gómez De Terreros M, Serrano Santamaría M, Jiménez Girón A V, Sánchez Salas M, Salazar Espadero N, López Barrio A M, Malo Aragón J M
Hospital Infantil Universitario Virgen del Rocio, Sevilla, España.
Child Abuse Negl. 1996 Jul;20(7):613-20. doi: 10.1016/0145-2134(96)00048-8.
A case with unusual presentation of Munchausen syndrome by proxy is reported. It was shown through reiterated ingestion of foreign bodies (two earrings, probably a button but not confirmed, a 5 cm. screw and two sewing needles) perpetrated by a 22-year-old mother with a psychiatric record of behavior disorders and family dysfunctions on a 10-month-old infant with a history of prematurity, repeated visits to emergency rooms, and nonjustified multiple hospital admissions. The difficulties in the diagnosis and the need for an early detection are brought up, making considerations in regard to indicators, diagnostic criteria, and management procedure.
本文报告了一例代理孟乔森综合征（Munchausen syndrome by proxy）的罕见病例。一名22岁的母亲有行为障碍和家庭功能障碍的精神病史，她让一名有早产史、多次前往急诊室且无故多次住院的10个月大婴儿反复吞食异物（两只耳环、可能是一颗纽扣但未得到证实、一枚5厘米长的螺丝钉和两根缝衣针）。文中提出了诊断的困难以及早期检测的必要性，并对指标、诊断标准和管理程序进行了探讨。
