Ipecac toxicity in "Munchausen syndrome by proxy"

The authors report a case that offers insight into the diagnostic challenge s of "Munchausen Syndrome by Proxy." Initial presentation with history of f ever and later with intractable vomiting led to invasive and expensive diag nostic evaluation before confirming the diagnosis. Certain toxic effects of emetine were clinically noted. Biochemical and clinical improvement were c learly demonstrated after withdrawal of the toxic agent.