Two siblings poisoned with diphenhydramine: A case of factitious disorder by proxy

被引:11
作者
Arnold, SM [1 ]
Arnholz, D [1 ]
Garyfallou, GT [1 ]
Heard, K [1 ]
机构
[1] Univ Colorado, Sch Med, Colorado Permanente Med Grp, Denver, CO USA
关键词
D O I
10.1016/S0196-0644(98)70146-5
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We report a case of factitious disorder by proxy (FDBP), formerly known as Munchausen syndrome by proxy, in which 2 siblings were poisoned with diphenhydramine. Although diphenhydramine is a readily available medication, no report of its use as the sole agent in an FDBP case was found in a literature search. Although sibling involvement in FDBP is well documented, this is the first case report of 2 siblings hospitalized simultaneously because of intentional poisoning with the same substance. Finally, the use of physostigmine to definitively diagnose anticholinergic poisoning in a case of FDBP has not previously been described.
引用
收藏
页码:256 / 259
页数:4
相关论文
共 15 条
[11]   NONACCIDENTAL SALT POISONING [J].
MEADOW, R .
ARCHIVES OF DISEASE IN CHILDHOOD, 1993, 68 (04) :448-452
[12]   NON-ACCIDENTAL POISONING - EXTENDED SYNDROME OF CHILD-ABUSE [J].
ROGERS, D ;
TRIPP, J ;
BENTOVIM, A ;
ROBINSON, A ;
BERRY, D ;
GOULDING, R .
BRITISH MEDICAL JOURNAL, 1976, 1 (6013) :793-796
[13]   WEB-OF-DECEIT - A LITERATURE-REVIEW OF MUNCHAUSEN SYNDROME BY PROXY [J].
ROSENBERG, DA .
CHILD ABUSE & NEGLECT, 1987, 11 (04) :547-563
[14]  
SWINYARD EA, 1985, PHARMACOL BASIS THER, P1985
[15]  
WEINER N, 1985, PHARMACOL BASIS THER, P131