here is a mild example of one factitious disorder by proxy case (munchausen disorder by proxy)
its disgusting what these parents do to their children...
Megan is a sweet 18-month-old girl who has spent most of her short life in the hospital. Clinicians had diagnosed her with gastric esophageal reflux (GER) as an infant. During the past few months, she has undergone multiple surgeries to correct this problem, including two gastrostomy feeding tubes and a nissen fundoplication, a surgical procedure to prevent reflux. Megan’s ongoing difficulties with reflux led to aspiration problems and an eventual tracheostomy. Her mother was an intelligent and very involved parent. Hospital staff noted that she was a good historian, who was never far from her daughter’s bedside. What they didn’t realize was that Megan’s mom was the underlying cause of her GER as a perpetrator of a more threatening diagnosis - Munchausen syndrome by proxy (MSBP).
An example of a serial MSBP case involved three children. The first child died at the age of 14 months after a premature birth, intraventricular brain hemorrhage, bronchopulmonary dysphagia, and apnea. The oldest child, a 9-year-old boy, was admitted to the hospital after 14 days of vomiting and deteriorating mental status. He died the day after admission and a cause of death was not established even after autopsy. Approximately two months later, the 8-year-old brother was admitted to the same hospital with vomiting, dehydration, and abdominal pain of one day’s duration. He died seven days later. The admission of the 8-year-old with symptoms similar to his older brother triggered a thorough investigation into possible causes of this mysterious illness. An analysis of the children’s home, including soil and water samples, revealed nothing unusual. However, toxicology analysis of the last boy’s tissues uncovered dramatically elevated arsenic levels. Subsequent analysis of tissues saved from the 9-year-old brother also revealed a high liver arsenic level of 1,239 g/g, when a normal level is less than 0.034 g/g.
Megan is a sweet 18-month-old girl who has spent most of her short life in the hospital. Clinicians had diagnosed her with gastric esophageal reflux (GER) as an infant. During the past few months, she has undergone multiple surgeries to correct this problem, including two gastrostomy feeding tubes and a nissen fundoplication, a surgical procedure to prevent reflux. Megan’s ongoing difficulties with reflux led to aspiration problems and an eventual tracheostomy. Her mother was an intelligent and very involved parent. Hospital staff noted that she was a good historian, who was never far from her daughter’s bedside. What they didn’t realize was that Megan’s mom was the underlying cause of her GER as a perpetrator of a more threatening diagnosis - Munchausen syndrome by proxy (MSBP).
An example of a serial MSBP case involved three children. The first child died at the age of 14 months after a premature birth, intraventricular brain hemorrhage, bronchopulmonary dysphagia, and apnea. The oldest child, a 9-year-old boy, was admitted to the hospital after 14 days of vomiting and deteriorating mental status. He died the day after admission and a cause of death was not established even after autopsy. Approximately two months later, the 8-year-old brother was admitted to the same hospital with vomiting, dehydration, and abdominal pain of one day’s duration. He died seven days later. The admission of the 8-year-old with symptoms similar to his older brother triggered a thorough investigation into possible causes of this mysterious illness. An analysis of the children’s home, including soil and water samples, revealed nothing unusual. However, toxicology analysis of the last boy’s tissues uncovered dramatically elevated arsenic levels. Subsequent analysis of tissues saved from the 9-year-old brother also revealed a high liver arsenic level of 1,239 g/g, when a normal level is less than 0.034 g/g.