title: Polymicrobial bacteremia due to Polle syndrome: the child abuse variant of Munchausen by proxy.
abstract: Infectious disease due to multiple organisms results from underlying disease or invasive procedures and is uncommon in the pediatric age group. We report a case of polymicrobial bacteremia in an infant in whom no underlying disease was substantiated despite extensive evaluation. The presence of Polle syndrome--an adult-induced illness--was subsequently proved. This diagnosis should be considered early in the evaluation of children for whom repeated blood culturing indicates polymicrobial bacteremia.
mesh_terms: D002649:Child Abuse; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000209:etiology; D009110:Munchausen Syndrome; D018805:Sepsis / Q000209:etiology* / Q000382:microbiology; D013577:Syndrome