JOHN PAUL QUINN, M.D.; J. PAUL O'KEEFE, M.D.
To the editor: Factitious disorders are not uncommon in tertiary care centers (1, 2). We report a case of a patient with factitious illness characterized by polymicrobial sepsis, which may have been self-induced, and factitious anemia that proved to be due to surreptitious phlebotomy through a Hickman catheter.
A 24-year-old nurse was referred to our hospital for evaluation and treatment of a facial abscess that had originated in an abscessed right upper second molar 3 months before admission. On admission she had a temperature of 40° C, swelling and pain in the right maxillary vestibule, and trismus. Two blood cultures
QUINN JP, O'KEEFE JP. Factitious Anemia Due to Surreptitious Phlebotomy Through A Hickman Catheter. Ann Intern Med. ;102:720–721. doi: 10.7326/0003-4819-102-5-720_3
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Published: Ann Intern Med. 1985;102(5):720-721.
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