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Correspondence
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Volume 339:1717-1718 December 3, 1998 Number 23
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Munchausen's Microbes?

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To the Editor: Infection induced by a patient is a difficult problem.1 The diagnosis is often delayed because objective signs are absent. The microbiology laboratory may provide clues to the diagnosis.2

A 30-year-old patient, a nurse's aide, was transferred from another hospital with a history of recurrent episodes of septic arthritis of the right ankle. Over a period of 3 years, she had been hospitalized for 168 days and had undergone 15 surgical interventions. A total of 72 wound samples (including biopsy specimens and tissue fragments obtained during débridement of the ankle) and 110 blood specimens were sent for culture. . . . [Full Text of this Article]

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