title: [Perforation of the eardrum caused by child abuse].
abstract: Munchausen syndrome by proxy (MSBP) is a complex, multifaceted form of child abuse that presents a challenge to all health-care providers. Diagnosis is difficult in cases of MSBP, and it is imperative to recognise the clinical features of MSBP in both the child and the perpetrator. All members of the health-care team must stay objective in the interactions with families where MSBP is suspected and make referrals to the proper agencies. A case is presented to explain the medical and social complexities associated with nursing and diagnosing MSBP. This article also provides a brief review of the definition of MSBP.
authors.affiliation: Øre-næse-hals Afdelingen, Vejle Sygehus, 7100 Vejle, Denmark. christianbannergindesgaard@gmail.com
authors.forename: Christian Banner
authors.initials: CB
authors.lastname: Gindesgaard
authors.forename: Troels Reinholdt
authors.initials: TR
authors.lastname: Møller
mesh_terms: D002675:Child, Preschool; D005260:Female; D006801:Humans; D019221:Mandatory Reporting; D016735:Munchausen Syndrome by Proxy / Q000175:diagnosis* / Q000523:psychology; D018058:Tympanic Membrane Perforation / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology