Separating Fact From Factitious Hemoptysis: A Case Report

被引：2

作者：

Mucha, Susan M. ^{[1
,2
]}

Varghese, Linda A. ^{[2
]}

French, Russell E. ^{[1
]}

Shade, Daniel A. ^{[1
,3
]}

机构：

[1] Allegheny Gen Hosp, Div Pulm & Crit Care Med, Pittsburgh, PA 15212 USA

[2] Allegheny Gen Hosp, Pittsburgh, PA 15212 USA

[3] Temple Univ, Sch Med, Philadelphia, PA 19122 USA

来源：

CRITICAL CARE NURSE | 2014年 / 34卷 / 04期

关键词：

MUNCHAUSEN-SYNDROME; MASSIVE HEMOPTYSIS; MANAGEMENT; DISORDERS; DIAGNOSIS;

D O I：

10.4037/ccn2014212

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 61-year-old man with a history of testicular carcinoma and more recently diagnosed metastatic renal cell carcinoma was admitted because of recurrent submassive hemoptysis as evidenced by bright red blood in his bedside basin. Despite an exhaustive workup, including multiple invasive procedures, no cause of the bleeding was found. The diagnosis was Munchausen syndrome manifested as factitious hemoptysis via unusual and modern means. The case is a reminder to all members of the critical care team, from nurses to physicians: When dealing with the frustration of a recurrent problem with no clear answer, remain vigilant and remember the age-old advice to look at the patient... and trust your gut.

引用

页码：36 / 41

页数：6

共 26 条

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