Open AccessAcute kidney injury in a child: A case of Munchausen syndrome by proxy
Author(s) -
Mukta Mantan,
Dhulika Dhingra,
Aditi Gupta,
Gulshan Rai Sethi
Publication year - 2015
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.168672
Subject(s) - azotemia , medicine , hyperkalemia , pyuria , intensive care medicine , munchausen syndrome , acute kidney injury , pediatrics , urinary system , poison control , child abuse , medical emergency , injury prevention , renal function
Renal and urologic problems in pediatric condition falsification (PCF) or Munchausen by proxy (MSP) can result in serious diagnostic dilemma. Symptoms of hematuria, pyuria and recurrent urinary tract infections have occasionally been described. However, MSP presenting as azotemia has not been previously reported. We describe the case of an unfortunate boy who had to undergo unnecessary hemodialysis for persistent hyperkalemia and azotemia before a final diagnosis of the falsification of investigations by the parents was made.