Thiopental-facilitated interview in respiratory Munchausen's syndrome.
We report an unintentional thiopental-facilitated interview in a patient presenting with apparent respiratory failure as a manifestation of Munchausen's syndrome. Unnecessary intubation was avoided and correct diagnosis was made using the thiopental interview. Patients with suspected Munchausen's syndrome represent a difficult dilemma for the emergency physician. Use of the barbiturate-facilitated interview in the emergency department may reveal the diagnosis and prevent unnecessary procedures and hospitalization.
Harrington
W Z
WZ
Department of Emergency Medicine, Maricopa Medical Center, Phoenix, Arizona 85008.
Jackimczyk
K C
KC
Seligson
R A
RA
D000328:Adult; D006801:Humans; D008297:Male; D009110:Munchausen Syndrome / Q000175:diagnosis*; D012131:Respiratory Insufficiency / Q000175:diagnosis*; D013874:Thiopental
D013874:Thiopental