title: Ipecac toxicity in "Munchausen syndrome by proxy".
abstract: The authors report a case that offers insight into the diagnostic challenges of "Munchausen Syndrome by Proxy." Initial presentation with history of fever and later with intractable vomiting led to invasive and expensive diagnostic evaluation before confirming the diagnosis. Certain toxic effects of emetine were clinically noted. Biochemical and clinical improvement were clearly demonstrated after withdrawal of the toxic agent.
authors.affiliation: Department of Gastroenterology and Nutrition, Children's National Medical Center, Washington, DC 20010, USA.
authors.forename: A A
authors.initials: AA
authors.lastname: Bader
authors.forename: B
authors.initials: B
authors.lastname: Kerzner
mesh_terms: D002675:Child, Preschool; D002851:Chromatography, High Pressure Liquid; D003937:Diagnosis, Differential; D004639:Emetics / Q000009:adverse effects* / Q000097:blood / Q000652:urine; D006801:Humans; D007486:Ipecac / Q000009:adverse effects* / Q000097:blood / Q000652:urine; D008297:Male; D016735:Munchausen Syndrome by Proxy / Q000175:diagnosis*; D014839:Vomiting
chemical_list: D004639:Emetics; D007486:Ipecac