Münchhausen Syndrome: A Case Report of an Unusual Cause of Vitamin K Antagonist Intoxication. Issue 6 (April 2020)

• Record Type: Journal Article
• Authors: Carlier, Laurence; Rex, Steffen; Vanassche, Thomas; Verelst, Sandra; Desmet, Koen; Van Elslande, Jan; Verhamme, Peter; Vandenbriele, Christophe
• Is Part Of: A & A practice. Volume 14:Issue 6(2020)
• Publication Date: 2020-04
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001189
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Psychiatric disorders must be considered in the differential diagnosis of patients presenting to the emergency department with unexplainable somatic symptoms. Physicians should be aware of Münchhausen syndrome as a possible diagnosis. A 46-year-old female patient presented at the emergency department with signs of coagulopathy. She denied taking any anticoagulant drugs as well as rat poison. Urine toxicology revealed the presence of vitamin K antagonists (VKAs). After an extensive workup, she was diagnosed with Münchhausen syndrome. Intentional intoxication with VKA is rare.