Maggio 2016 - Volume XXXV - numero 5

Medico e Bambino


Pagine elettroniche

I love (doctor) shopping…

Francesca Belcari, Silvia Agostiniani, Gloria Rossi, Maria Costanza Caparello, Rita Consolini

Pediatria, Servizio di Immunologia Pediatrica, Azienda Ospedaliera-Universitaria Pisana, Pisa

Indirizzo per corrispondenza: checcabelca@virgilio.it

I love (doctor) shopping…

Key words: Fever, Hypogammaglobulinemia, Mother, Münchausen by proxy

A thirteen-year-old boy presented with recurrent fever for two years and was checked up in several hospitals with the only outcome of hypogammaglobulinemia. He could not go to school for 90 days. He underwent clinical examination and lab tests that showed negative results and no fever. A moderate hypogammaglobulinemia was confirmed but not as cause of the fever. The patient was therefore examined for 24 hours to check fever and his clinical status directly. Every time he was afebrile. “Factitia fever” was suspected and the patient addressed to a neuropsychiatric evaluation that evidenced: “fear of competition with classmates and a pathological relationship with his mother”. So, neuropsychiatric procedure was suggested. His mother seemed to understand, but after a few minutes she asked: “Who is the best doctor in the Clinic? I would like to take my son to check his hypogammaglobulinemia”. And a new doctor shopping was starting again…

Vuoi citare questo contributo?

F. Belcari, S. Agostiniani, G. Rossi, M.C. Caparello, R. Consolini I love (doctor) shopping… . Medico e Bambino 2016;35(5):323-324 https://www.medicoebambino.com/?id=1605_323.pdf

Pagine elettroniche

Distacchi apofisari

Silvia Nider

Scuola di Specializzazione in Pediatria, IRCCS Materno-Infantile “Burlo Garofolo”, Università di Trieste

Indirizzo per corrispondenza: silvia_naider@yahoo.it

Vuoi citare questo contributo?

S. Nider Distacchi apofisari. Medico e Bambino 2016;35(5):323-324 https://www.medicoebambino.com/?id=1605_323.pdf


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