Munchausen syndrome revealed by subcutaneous limb emphysema: A case report

被引:4
作者
Koufagued K. [1 ]
Chafry B. [1 ]
Benyass Y. [1 ]
Abissegue Y. [1 ]
Benchebba D. [1 ]
Bouabid S. [1 ]
Belkacem C. [1 ]
机构
[1] Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- Souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan
关键词
Factitious disorder; Limb; Munchausen syndrome; Subcutaneous emphysema;
D O I
10.1186/s13256-015-0649-x
中图分类号
学科分类号
摘要
Introduction: Limb subcutaneous emphysema secondary to a Munchausen syndrome represents a rare and severe entity because it involves the functional prognosis of the limb and vital prognosis of the patient. Case presentation: We report the case of an 18-year-old Moroccan woman patient who presented to our hospital with a subcutaneous emphysema of the shoulder girdle and the right arm, caused by our patient. Treatment was aggressive, with a wide surgical debridement, parenteral antibiotic therapy and hyperbaric oxygen therapy. The results have been favorable. Conclusions: The correlation of anamnestic data and clinical and para-clinical exams were essential for the diagnosis of Munchausen syndrome in this case. In this regard, we report a rare case of subcutaneous limb emphysema secondary to Munchausen syndrome. © 2015 Koufagued et al.
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  • [1] Vaduganathan M., McCullough S.A., Fraser T.N., Stern T.A., Death due to munchausen syndrome: A case of idiopathic recurrent right ventricular failure and a review of the literature, Psychosomatics, 55, 6, pp. 668-672, (2014)
  • [2] Karadsheh M.F., Bloody tears: A rare presentation of munchausen syndrome case report and review, J Family Med Prim Care, 4, 1, pp. 132-134, (2015)
  • [3] Stevenson J., Sucking wounds of the limbs, Injury, 26, pp. 151-153, (1995)
  • [4] Udell J.L., Julsrud M.E., Subcutaneous emphysema of the lower extremity. A case report, J Am Podiatr Med Assoc, 80, pp. 446-447, (1990)
  • [5] Headley A.J., Necrotizing soft tissue infections: A primary care review, Am Fam Physician, 68, pp. 323-328, (2003)
  • [6] Rauh J.L., Letter: Self-induced subcutaneous emphysema in an adolescent, J Pediatr, 88, 4, pp. 690-691, (1976)
  • [7] Wall D.B., Klein S.R., Black S., De Virgilio C., A simple model to help distinguish necrotizing fasciitis from nonnecrotizing soft tissue infection, J Am Coll Surg, 191, pp. 227-231, (2000)
  • [8] Samlaska C.P., Maggio K.L., Subcutaneous emphysema, Adv Dermatol, 11, pp. 117-151, (1996)
  • [9] Mahir M., Chloros G.D., Feridun C., Semiz U.B., Kiral A., Emphysème sous-cutané factice d'un membre, Rev Rhum, 75, 1, pp. 87-90, (2008)