PEDIATRICS Vol. 92 No. 4 October 1993, pp. 601-603
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by GOEBEL, J.
Right arrow Articles by ARTMAN, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by GOEBEL, J.
Right arrow Articles by ARTMAN, M.

Cardiomyopathy From Ipecac Administration in Munchausen Syndrome by Proxy

JENS GOEBEL MD1, DAVID A. GREMSE MD2, and MICHAEL ARTMAN MD3

1 Dept of Pediatrics, University of South Alabama College of Medicine, Mobile, AL
2 Division of Pediatric Gastroenterology, University of South Alabama College of Medicine, Mobile, AL
3 Division of Pediatric Cardiology, University of South Alabama College of Medicine, Mobile, AL

In the United States, serum of ipecac is the emetic of choice in poisoning victims if induction of vomiting is indicated. It is readily available without prescription and has been intentionally administered on a long-term basis in cases of self-abuse or abuse by caretakers. Signs and symptoms of chronic ipecac poisoning include protracted vomiting and diarrhea as well as skeletal and cardiac myopathy. We report two cases of ipecac cardiomyopathy due to Munchausen syndrome by proxy (MSBP) in children with longstanding vomiting and diarrhea.

CASE REPORTS

Case 1

At the age of 29 months, a white, previously healthy boy doveloped appendicitis and underwent appendectomy.

Submitted on December 7, 1992
Accepted on April 15, 1993




This article has been cited by other articles:


Home page
 CLIN PEDIATRHome page
N. R. Kelly and S. H. Sanchez
Is Syrup of Ipecac Still for Sale? Comparison of Pharmacies in a Large Urban Area--2003 Versus 2005
Clinical Pediatrics, May 1, 2007; 46(4): 320 - 324.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
A.-K. Souid, D. V. Keith, and A. S. Cunningham
Munchausen Syndrome by Proxy
Clinical Pediatrics, August 1, 1998; 37(8): 497 - 503.
[Abstract] [PDF]