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Title: Bacterial Infections in Anorexia Nervosa: Delayed Recognition Increases Complications
Contributor(s): Brown, R (author); Bartop, R (author); Beumont, P (author); Laird Birmingham, C (author)
Publication Date: 2005
Open Access: Yes
DOI: 10.1002/eat.20135
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Abstract: OBJECTIVE: We compared the natural history of bacterial infection in patients with anorexia nervosa (AN) with controls, and assessed which of a range of patient characteristics were associated with infection, fever response, and the rate of infectious complications in AN patients. METHOD: The charts of 311 consecutive hospital admissions of AN patients were reviewed. Patients who had a bacterial infection while in the hospital were compared with the AN patients who did not have an infection, with respect to a range of demographic and disease variables. Fever response and infection complication rate also were evaluated in AN patients with a bacterial infection and in nonanorectic control subjects admitted with a bacterial infection. RESULTS: AN patients with a bacterial infection showed a reduced fever response, were often difficult to diagnose because of fewer signs and symptoms, and infection became more frequent with increasing patient age. DISCUSSION: A reduction in fever response and the signs and symptoms of infection significantly delayed diagnosis in AN patients and increased the complication rate from bacterial infection. We recommend that an increased index of suspicion and an early complete blood count and bacteriologic cultures be adopted for the investigation of bacterial infection in AN patients.
Publication Type: Journal Article
Source of Publication: International Journal of Eating Disorders, 37(3), p. 261-265
Publisher: John Wiley & Sons Ltd
Place of Publication: United States of America
ISSN: 0276-3478
Field of Research (FOR): 110309 Infectious Diseases
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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Appears in Collections:Journal Article
School of Psychology and Behavioural Science

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