Hostname: page-component-84b7d79bbc-2l2gl Total loading time: 0 Render date: 2024-07-28T08:25:24.050Z Has data issue: false hasContentIssue false

Ventricular tachycardia and chest pain due to foreign body in the pericardium caused by self-injurious behaviour

Published online by Cambridge University Press:  05 August 2019

Hidenori Yamamoto
Affiliation:
Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
Yoshie Fukasawa
Affiliation:
Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
Taichi Kato*
Affiliation:
Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
*
Author for correspondence: Taichi Kato, MD, PhD, Department of Pediatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. Tel: +81-52-744-2294; Fax: +81-52-744-2974; E-mail: ktaichi@med.nagoya-u.ac.jp

Abstract

A 14-year-old girl suddenly developed ventricular tachycardia and severe chest pain during hospitalisation for trauma surgery. CT revealed a needle in the pericardium. Careful interview elicited that she had inserted the needle by herself, and Munchausen syndrome was diagnosed. This is the first report of ventricular tachycardia caused by a foreign body in a patient with Munchausen syndrome.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Friedland-Little, JM, Zampi, JD, Gajarski, RJ. Aortic stenosis. In: Allen, HD (ed). Moss and Adams’ Heart Disease in Infants, Children and Adolescents Including Fetus and Young Adults, 9th edn. Wolters Kluwer, Philadelphia, 2016: 623653.Google Scholar
Park, TA, Borsch, MA, Dyer, AR, Peiris, AN. Cardiopathia fantastica: the cardiac variant of Munchausen syndrome. South Med J 2004; 97: 4852.CrossRefGoogle ScholarPubMed
Vaglio, JC, Schoenhard, JA, Saavedra, PJ, Williams, SR, Raj, SR. Arrhythmogenic Munchausen syndrome culminating in caffeine-induced ventricular tachycardia. J Electrocardiol 2011; 44: 229231.10.1016/j.jelectrocard.2010.08.006CrossRefGoogle ScholarPubMed
Norcliffe-Kaufmann, L, Gonzalez-Duarte, A, Martinez, J, Kaufmann, H. Tachyarrythmias with elevated cardiac enzymes in Münchausen syndrome. Clin Auton Res 2010; 20: 259261 CrossRefGoogle ScholarPubMed