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January 23, 1978

Munchausen Syndrome: Blood Bank Variety

Author Affiliations

Fort Myers, Fla

JAMA. 1978;239(4):296. doi:10.1001/jama.1978.03280310028012

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To the Editor.—  The following case report shows a bizarre sequence of events that should alert blood bank personnel and blood bank directors to what we believe constitutes a new variety of the Munchausen syndrome with grave medicolegal implications.On April 23, 1977, a male patient was admitted to the hospital with a diagnosis of upper gastrointestinal bleeding. He was jaundiced at the time of admission and had abnormal liver function tests and HBsAg positive serum. The patient was hospitalized previously on Jan 4, 1977, for upper gastrointestinal bleeding, for which he had received three units of blood. Investigation of blood bank records showed that all three of the donors were HBsAg negative. Two of the donors had donated blood several times with no sequelae; both returned to the hospital blood bank for a repeated HBsAg test, which was negative. The third donor was