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Related Experiment Videos

Factitious and fraudulent fever

L W Rumans, K L Vosti

    The American Journal of Medicine
    |November 1, 1978
    PubMed
    Summary

    Factitious fever, often overlooked in fevers of undetermined origin, can be identified through specific patient behaviors. Early recognition of factitious fever can prevent unnecessary, costly, and potentially dangerous medical interventions.

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    Area of Science:

    • Internal Medicine
    • Psychiatry

    Background:

    • Fever of undetermined origin (FUO) presents a diagnostic challenge.
    • Factitious fever is an underconsidered etiology in FUO, despite being identifiable.

    Observation:

    • A retrospective study found factitious fever in 2.2% of FUO cases.
    • Patients self-induced fever through thermometer manipulation or other means.
    • Literature review identified 70 additional cases, often involving young females associated with healthcare.

    Findings:

    • Factitious fever patients differ from those with Munchausen's syndrome.
    • Recognition requires attention to specific signs and patient history.
    • Early identification is crucial for appropriate management.

    Implications:

    • Early diagnosis of factitious fever can reduce prolonged hospitalizations.
    • Recognizing factitious fever facilitates timely psychiatric intervention.
    • Understanding this condition improves differential diagnosis for FUO.

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