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M94A0593.TXT
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1994-10-21
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Document 0593
DOCN M94A0593
TI Factitious AIDS.
DT 9412
AU Munckhof WJ; Jenkins K; Fairfield Hospital, Vic.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:90 (poster no. 31a).
Unique Identifier : AIDSLINE ASHM5/94349062
AB A 19 year old homosexual man was admitted to a general hospital with 3
weeks sweats and cough with haemoptysis. He stated that HIV serology
performed one year earlier was positive, and claimed to have pulmonary
tuberculosis treated with isoniazid. Physical examination and chest
X-ray were normal. Mantoux test was negative and sputum could not be
obtained. HIV serology was negative on two occasions and CD4 cell count
was normal. When the patient was told the results, he absconded. Two
weeks later, he was admitted to a psychiatric hospital with symptoms of
depression, again claiming to be HIV positive. Information was obtained
from the previous hospital, although the patient was not informed of
this for fear he may abscond again. He was treated with antidepressants.
He was discharged from hospital 2 weeks later, and did not attend his
follow up appointment. This is the first reported case of factitious
AIDS to our knowledge in Australia. With increasing numbers of AIDS
patients in Australia, factitious AIDS is likely to become more common.
Most reported cases are in groups at high risk for HIV infection. Many
health care workers may not consider the possibility of deception in a
disease with significant stigma. Clinicians should consider the
possibility of this disorder in persons who claim to be HIV-infected but
have an implausible story.
DE Acquired Immunodeficiency Syndrome/DIAGNOSIS/*PSYCHOLOGY Adult Case
Report Diagnosis, Differential Factitious
Disorders/DIAGNOSIS/*PSYCHOLOGY Homosexuality/*PSYCHOLOGY Human HIV
Seropositivity/DIAGNOSIS/*PSYCHOLOGY Male Patient Admission MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).