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Previous Volume 329:1426-1427 November 4, 1993 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by da Silva, A. M. T.

To the Editor: The report (May 20 issue)¹ of a middle-aged laboratory worker who self-administered a large dose of endotoxin, leading to the development of the septic shock syndrome, raises questions about the patient's subsequent care. The case report makes no mention of whether a psychiatric consultation was obtained before the patient was discharged or whether outpatient psychiatric care was arranged. In this patient, possible suicidal intent should be considered.

People with autogenic illnesses often work, as this patient apparently did, in medical or laboratory surroundings. In a series of 32 cases of factitious fever and self-induced infection,² the patients . . . [Full Text of this Article]

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