Delusional parasitosis on the psychiatric consultation service - a longitudinal perspective: case study.

Authors:
Adam Trenton
Adam Trenton
University of Rochester School of Medicine
United States
Neha Pansare
Neha Pansare
Rutgers Robert Wood Johnson Medical School
Piscataway Township | United States
Anthony Tobia
Anthony Tobia
UMDNJ-RWJ Medical School
United States
Viwek Bisen
Viwek Bisen
Rutgers - Robert Wood Johnson Medical School
Kenneth R Kaufman
Kenneth R Kaufman
UMDNJ-Robert Wood Johnson Medical School
United States

BJPsych Open 2017 May 9;3(3):154-158. Epub 2017 Jun 9.

, MD, FRCPsych, Departments of Psychiatry, Neurology, and Anaesthesiology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

Background: Delusional parasitosis is infrequently seen in hospital-based consultation-liaison psychiatry.

Aims: Although there are many publications on delusional parasitosis, this report reviews a unique case that was diagnosed during a hospital admission and treated over the next 36 months.

Method: Case report and literature review.

Results: This case report describes a 65-year-old man who was diagnosed with delusional parasitosis during a hospital admission for congestive heart failure and acute kidney injury. A longitudinal description of the patient's condition during the hospital stay and in the 36 months following discharge, during which time he was treated by a consultation psychiatrist, is provided.

Conclusions: In discussing the treatment of a challenging presentation, this case demonstrates the opportunity for consultation psychiatrists to initiate care in patients who might not otherwise seek psychiatric services. Patients with somatic delusions represent one group of patients who are unlikely to independently seek psychiatric treatment.

Declaration Of Interest: None.

Copyright And Usage: © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

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Source
http://dx.doi.org/10.1192/bjpo.bp.116.004358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465424PMC
May 2017
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