A Case of Recurrent Fungal Endophthalmitis with Suspected Munchausen Syndrome

Accession number;06A0171396
Title;A Case of Recurrent Fungal Endophthalmitis with Suspected Munchausen Syndrome
Author; MINEMURA KENJI (Todai Daigakuin'igakukeikenkyuka Gankagaku) NAGAHARA MIYUKI (Todai Daigakuin'igakukeikenkyuka Gankagaku) KABURAKI TOSHIKATSU (Todai Daigakuin'igakukeikenkyuka Gankagaku) SAKURAI MASAHIKO (Saitamaidai Sogoiryose Ganka) ARAIE MAKOTO (Todai Daigakuin'igakukeikenkyuka Gankagaku) TANAKA SAKAE (Todai Daigakuin'igakukeikenkyuka Seikeigeka) DOI TAKAKO (Kokuritsubyoinkiko Yokohamairyose Geka) OKUGAWA SHU (Todai Daigakuin'igakukeikenkyuka Kansenseigyobu Kansenshonaika) TSUKADA KUNIHISA (Todai Daigakuin'igakukeikenkyuka Kansenseigyobu Kansenshonaika)
Journal Title;Journal of Japanese Ophthalmological Society
Journal Code:Z0666A
ISSN:0029-0203
VOL.110;NO.3;PAGE.188-192(2006)
Figure&Table&Reference;FIG.8, REF.6
Pub. Country;Japan
Language;Japanese
Abstract;Purpose: To report recurrent fungal endophthalmitis which developed after endogenous fungal endophthalmitis. The patient was suspected to be suffering from Munchausen syndrome. Case: A 44-year-old woman contracted endogenous fungal endophthalmitis in her right eye in October 2000. After the endophthalmitis was healed by vitrectomy, corneal ulcer and endophthalmitis repeatedly occurred in the eye from an unknown cause. The patient finally lost the sight of her right eye. The corneal ulcer and endophthalmitis resulted from self-injury for which we found material evidence in the course of the treatment. Munchausen's syndrome was suspected but the patient persistently refused to see a psychiatrist. Conclusion: We must be prepared to provide mental and psychiatric care in addition to ophthalmological treatment for such a case. (author abst.)