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[A case of Munchausen syndrome by proxy]
J Feenstra1, I T Merth, P D Treffers
1Psychosociale afd. van de afd. kindergeneeskunde, Academisch Ziekenhuis Leiden.
Tijdschrift Voor Kindergeneeskunde
|August 1, 1988
Summary
This case study details Münchhausen syndrome by proxy in a child, where a grandmother intentionally harmed her. The child recovered after separation, highlighting the importance of identifying and intervening in such abuse cases.
Area of Science:
- Pediatrics
- Child Psychiatry
- Toxicology
Background:
- Münchhausen syndrome by proxy (MSbP) is a form of child abuse where a caregiver fabricates or induces illness in a child.
- Early and accurate diagnosis is crucial for intervention and the child's well-being.
Observation:
- A one-year-old girl presented with chronic parotitis and orbital cellulitis.
- Pathological examination of parotid tissue revealed a foreign substance, likely alum, containing aluminum, silica, and iron.
Findings:
- The child's grandmother, acting as foster mother and exhibiting Münchhausen syndrome, was identified as the perpetrator.
- The foreign substance was likely administered by the grandmother to induce illness.
Implications:
- Separation from the abuser led to the child's rapid recovery.
- This case underscores the need for multidisciplinary assessment in suspected MSbP cases.
- Therapeutic foster care provided a safe environment for the child's long-term recovery.