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  • Title: [Factitious recurrent septicemia and gastrointestinal corrosive burns].
    Author: Löbermann M, Hemmer C, Andree H, Mau R, Grimm K, Reisinger EC.
    Journal: Dtsch Med Wochenschr; 2010 Jul; 135(27):1368-71. PubMed ID: 20589583.
    Abstract:
    HISTORY AND ADMISSION FINDINGS: A 39-year-old woman was admitted for the treatment of recurrent septicemia, corrosive esophageal and gastric mucosal injury, and bloody stools. INVESTIGATIONS: A search of her hospital room provided evidence of a self-inflicted disorder. Bacteremia with typical fecal flora had been caused by self-injected intravenous inoculation of stool and the esophageal ulcers by swallowed vinegar. TREATMENT AND COURSE: The patient was initially treated with meropenem. After initial clinical and psychological stabilization the patient refused further psychiatric or psychosomatic treatment. CONCLUSION: Fluctuating or bizarre symptoms and unusual diagnostic findings may indicate self-inflicted disorders, in which the symptoms of illness are caused by the afflicted person him/herself.
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