Document 0593
 DOCN  M94A0593
 TI    Factitious AIDS.
 DT    9412
 AU    Munckhof WJ; Jenkins K; Fairfield Hospital, Vic.
 SO    Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:90 (poster no. 31a).
       Unique Identifier : AIDSLINE ASHM5/94349062
 AB    A 19 year old homosexual man was admitted to a general hospital with 3
       weeks sweats and cough with haemoptysis. He stated that HIV serology
       performed one year earlier was positive, and claimed to have pulmonary
       tuberculosis treated with isoniazid. Physical examination and chest
       X-ray were normal. Mantoux test was negative and sputum could not be
       obtained. HIV serology was negative on two occasions and CD4 cell count
       was normal. When the patient was told the results, he absconded. Two
       weeks later, he was admitted to a psychiatric hospital with symptoms of
       depression, again claiming to be HIV positive. Information was obtained
       from the previous hospital, although the patient was not informed of
       this for fear he may abscond again. He was treated with antidepressants.
       He was discharged from hospital 2 weeks later, and did not attend his
       follow up appointment. This is the first reported case of factitious
       AIDS to our knowledge in Australia. With increasing numbers of AIDS
       patients in Australia, factitious AIDS is likely to become more common.
       Most reported cases are in groups at high risk for HIV infection. Many
       health care workers may not consider the possibility of deception in a
       disease with significant stigma. Clinicians should consider the
       possibility of this disorder in persons who claim to be HIV-infected but
       have an implausible story.
 DE    Acquired Immunodeficiency Syndrome/DIAGNOSIS/*PSYCHOLOGY  Adult  Case
       Report  Diagnosis, Differential  Factitious
       Disorders/DIAGNOSIS/*PSYCHOLOGY  Homosexuality/*PSYCHOLOGY  Human  HIV
       Seropositivity/DIAGNOSIS/*PSYCHOLOGY  Male  Patient Admission  MEETING
       ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).