Vista Equipo: DELUSIONAL INFESTATION. EKBOM'S SYNDROME IN A 53-YEAR OLD WOMAN. CASE REPORT

DELUSIONAL INFESTATION. EKBOM'S SYNDROME IN A 53-YEAR OLD WOMAN. CASE REPORT

ABSTRACT Introduction: Delusional infestation is a rare psychiatric disorder defined as a condition in which the patient has the unshakable belief and perception of being infested with parasites. Its treatment is difficult, and frequently includes antipsychotic medications (such as olanzapine or ari...

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Autores Principales:	Olivera, Mario Javier, Paez Ardila, Hugo, Maldonado Lara, Eliana, Porras Villamil, Julián Felipe, López Moreno, Gabriela Andrea, Toquica Gahona, Christian Camilo
Formato:	Artículo (Article)
Lenguaje:	Inglés (English)
Publicado:	Universidad Nacional de Colombia 2017
Materias:	Reporte de caso Delirio de parasitosis Delirio de parasitosis de Ekbom Case Report Delusional parasitosis Ekbom delusory parasitosis Delusory parasitosis
Acceso en línea:	https://repository.urosario.edu.co/handle/10336/24613 https://doi.org/10.15446/cr.v3n2.62754

id	ir-10336-24613
recordtype	dspace
spelling	ir-10336-246132022-05-02T12:37:14Z DELUSIONAL INFESTATION. EKBOM'S SYNDROME IN A 53-YEAR OLD WOMAN. CASE REPORT Olivera, Mario Javier Paez Ardila, Hugo Maldonado Lara, Eliana Porras Villamil, Julián Felipe López Moreno, Gabriela Andrea Toquica Gahona, Christian Camilo Reporte de caso Delirio de parasitosis Delirio de parasitosis de Ekbom Case Report Delusional parasitosis Ekbom delusory parasitosis Delusory parasitosis ABSTRACT Introduction: Delusional infestation is a rare psychiatric disorder defined as a condition in which the patient has the unshakable belief and perception of being infested with parasites. Its treatment is difficult, and frequently includes antipsychotic medications (such as olanzapine or aripiprazole). Non-pharmacological treatment, particularly psychotherapy, can be used for less severe cases. Dermatologists and psychiatrists must take a multi-disciplinary approach (preferably in a psycodermatology dedicated clinic) since this type of patients sometimes refuse treatment. Case description: A 53-year-old female businesswoman describes a clinical history of five years of visual hallucinations, depressive symptoms, and generalized pruritus, along with the use of toxic substances to clean her skin and cloths. She reports similar symptoms in some relatives but they were not evaluated. Blood tests and analyses of the specimen brought by the patient were performed, yielding negative results. The patient had never been assessed by any specialist, and showed disoriented during the consultation. Follow-up was not possible due to the reluctance of the patient to follow the indications and seek psychiatric treatment. Moreover, the patient did not respond to further communication attempts. Discussion: Delusional infestation is an uncommon disease that endangers the patients and the people around them. Its treatment is difficult and long, and not conducting proper follow-up is a great risk. Its prevalence and incidence is variable and generally unknown. It can affect the patient, their next of kin, pets or the environment, and the pathogen can be a living organism or an inanimate object. Conclusion: This case is important as it shows the hardships of treatment, adequate follow-up and care, as well as the need to improve how these patients are approached. Additionally, both classical and uncommon signs and symptoms could be observed as the patient stated that her relatives were affected (possible delusional infestation by proxy). 2017 2020-06-11T13:20:52Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2462-8522 https://repository.urosario.edu.co/handle/10336/24613 https://doi.org/10.15446/cr.v3n2.62754 eng info:eu-repo/semantics/openAccess application/pdf Universidad Nacional de Colombia instname:Universidad del Rosario
institution	EdocUR - Universidad del Rosario
collection	DSpace
language	Inglés (English)
topic	Reporte de caso Delirio de parasitosis Delirio de parasitosis de Ekbom Case Report Delusional parasitosis Ekbom delusory parasitosis Delusory parasitosis
spellingShingle	Reporte de caso Delirio de parasitosis Delirio de parasitosis de Ekbom Case Report Delusional parasitosis Ekbom delusory parasitosis Delusory parasitosis Olivera, Mario Javier Paez Ardila, Hugo Maldonado Lara, Eliana Porras Villamil, Julián Felipe López Moreno, Gabriela Andrea Toquica Gahona, Christian Camilo DELUSIONAL INFESTATION. EKBOM'S SYNDROME IN A 53-YEAR OLD WOMAN. CASE REPORT
description	ABSTRACT Introduction: Delusional infestation is a rare psychiatric disorder defined as a condition in which the patient has the unshakable belief and perception of being infested with parasites. Its treatment is difficult, and frequently includes antipsychotic medications (such as olanzapine or aripiprazole). Non-pharmacological treatment, particularly psychotherapy, can be used for less severe cases. Dermatologists and psychiatrists must take a multi-disciplinary approach (preferably in a psycodermatology dedicated clinic) since this type of patients sometimes refuse treatment. Case description: A 53-year-old female businesswoman describes a clinical history of five years of visual hallucinations, depressive symptoms, and generalized pruritus, along with the use of toxic substances to clean her skin and cloths. She reports similar symptoms in some relatives but they were not evaluated. Blood tests and analyses of the specimen brought by the patient were performed, yielding negative results. The patient had never been assessed by any specialist, and showed disoriented during the consultation. Follow-up was not possible due to the reluctance of the patient to follow the indications and seek psychiatric treatment. Moreover, the patient did not respond to further communication attempts. Discussion: Delusional infestation is an uncommon disease that endangers the patients and the people around them. Its treatment is difficult and long, and not conducting proper follow-up is a great risk. Its prevalence and incidence is variable and generally unknown. It can affect the patient, their next of kin, pets or the environment, and the pathogen can be a living organism or an inanimate object. Conclusion: This case is important as it shows the hardships of treatment, adequate follow-up and care, as well as the need to improve how these patients are approached. Additionally, both classical and uncommon signs and symptoms could be observed as the patient stated that her relatives were affected (possible delusional infestation by proxy).
format	Artículo (Article)
author	Olivera, Mario Javier Paez Ardila, Hugo Maldonado Lara, Eliana Porras Villamil, Julián Felipe López Moreno, Gabriela Andrea Toquica Gahona, Christian Camilo
author_facet	Olivera, Mario Javier Paez Ardila, Hugo Maldonado Lara, Eliana Porras Villamil, Julián Felipe López Moreno, Gabriela Andrea Toquica Gahona, Christian Camilo
author_sort	Olivera, Mario Javier
title	DELUSIONAL INFESTATION. EKBOM'S SYNDROME IN A 53-YEAR OLD WOMAN. CASE REPORT
title_short	DELUSIONAL INFESTATION. EKBOM'S SYNDROME IN A 53-YEAR OLD WOMAN. CASE REPORT
title_full	DELUSIONAL INFESTATION. EKBOM'S SYNDROME IN A 53-YEAR OLD WOMAN. CASE REPORT
title_fullStr	DELUSIONAL INFESTATION. EKBOM'S SYNDROME IN A 53-YEAR OLD WOMAN. CASE REPORT
title_full_unstemmed	DELUSIONAL INFESTATION. EKBOM'S SYNDROME IN A 53-YEAR OLD WOMAN. CASE REPORT
title_sort	delusional infestation. ekbom's syndrome in a 53-year old woman. case report
publisher	Universidad Nacional de Colombia
publishDate	2017
url	https://repository.urosario.edu.co/handle/10336/24613 https://doi.org/10.15446/cr.v3n2.62754
_version_	1740172939479744512
score	12,131701

DELUSIONAL INFESTATION. EKBOM'S SYNDROME IN A 53-YEAR OLD WOMAN. CASE REPORT

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