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Related Experiment Videos

Factitious polymicrobial bacteremia: a case report

S L Green, B P Read

    The Journal of Urology
    |February 1, 1981
    PubMed
    Summary
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    Factitious illness due to self-inoculation should be suspected in patients with polymicrobial bacteremia when no other source is found. This rare condition mimics serious infections like renal abscesses, requiring careful diagnostic consideration.

    Area of Science:

    • Internal Medicine
    • Infectious Diseases
    • Medical Case Reports

    Background:

    • Polymicrobial bacteremia indicates a serious infection, often originating from an identifiable source.
    • Renal abscesses present with symptoms like fever and flank pain, requiring prompt diagnosis and treatment.

    Observation:

    • A 23-year-old student nurse presented with symptoms of a renal abscess and polymicrobial bacteremia.
    • Extensive investigations, including exploratory laparotomy, did not identify the source of the bloodstream infection.

    Findings:

    • Factitious illness, specifically self-inoculation, was suspected as the cause of the patient's condition.
    • The patient's presentation mimicked a genuine renal abscess and sepsis.

    Implications:

    Related Experiment Videos

    • Self-inoculation should be considered in the differential diagnosis of polymicrobial bacteremia, especially when common sources are excluded.
    • This case highlights the importance of considering non-organic causes for severe infections in healthcare professionals.
    • Absence of urologic, biliary, or gastrointestinal obstruction warrants a high index of suspicion for self-inoculation in patients with polymicrobial bacteremia.