1/6. delusions of parasitosis in clients presenting pets for veterinary care.The syndrome delusions of parasitosis (DP) constitutes a psychiatric disorder of humans in which patients falsely believe that they are infested with parasites. This report describes 2 cases of DP observed at the Onderstepoort Veterinary Academic Hospital (OVAH). The first case involved a 34-year old, single female, who believed that she and her three cats were being parasitised by insects of unknown origin. Before referral to the OVAH, she had taken her cats to 2 other veterinarians and had consulted 2 dermatologists herself. The second case was a single male who believed that he was being parasitised by insects originating from his cat. A full diagnostic evaluation performed on all 4 cats failed to reveal any dermatological abnormalities. No parasites were seen or cultured from any of the cats.- - - - - - - - - - ranking = 1keywords = parasitosis (Clic here for more details about this article) |
2/6. Human cutaneous parasitosis: two cases of furuncular and creeping myiasis.Two cases of myiasis are presented. The first one, a furunculoid lesion, was caused by Dermatobia hominis; the second was a relapsing creeping disease.- - - - - - - - - - ranking = 0.8keywords = parasitosis (Clic here for more details about this article) |
3/6. cocaine abuse and delusions of parasitosis.We report two persons in their thirties with the shared delusion of parasitosis. Both abused cocaine, and both recovered from their delusions after a period of abstinence. Although the literature does not stress that a specific cause is usually found for delusions of parasitosis, this may be changing for persons in groups among whom cocaine and possibly other illicit drug use is common. It is a service to these desperate patients to establish their confidence and then discretely ask about the use of illegal drugs, especially cocaine.- - - - - - - - - - ranking = 1.2keywords = parasitosis (Clic here for more details about this article) |
4/6. nature and treatment of delusional parasitosis: a different experience in india.BACKGROUND. delusional parasitosis has been described as a rare syndrome, often involving elderly women who respond poorly to treatment except to pimozide. METHOD. Nineteen cases of delusional parasitosis given antipsychotic treatment other than pimozide were followed up and the responses assessed in a structured manner. RESULTS. The frequency of the syndrome was higher than generally reported and the patients were younger and had been ill for a shorter period. There was good response to antipsychotic treatments using trifluoperazine, haloperidol, chlorpromazine, and electroconvulsive therapy, and 11 cases showed complete remission, five of them maintaining the recovery for more than 3 years. CONCLUSIONS. delusional parasitosis is not as rare as described: it does not need to be chronic, and can involve young patients. Antipsychotic treatments other than pimozide are equally effective in delusional parasitosis especially if the patients are young and seen early in the illness. The frequency and nature of the disorder observed could probably be due to regional cultural factors.- - - - - - - - - - ranking = 2.4144481068494keywords = parasitosis, delusional parasitosis (Clic here for more details about this article) |
5/6. delusions of parasitosis with fatal outcome.The case of a 40-year-old man with delusions of parasitosis as the presentation of a monodelusional psychosis is reported. In spite of treatment with pimozide and depot neuroleptics the patient committed suicide. Since the introduction of pimozide, this drug has come to be regarded as the specific treatment for this disorder; this case is presented to emphasize the fact that not all cases respond, and that the disorder can have a fatal outcome.- - - - - - - - - - ranking = 1keywords = parasitosis (Clic here for more details about this article) |
6/6. An approach to the treatment of psychogenic parasitosis.BACKGROUND: patients with psychogenic parasitosis typically seek help from nonpsychiatric physicians and can be difficult and time-consuming to treat. pimozide has been promoted as the treatment of choice but is not indicated for every patient presenting with this symptom. Our purpose was to develop a realistic treatment protocol for the nonpsychiatric physician faced with these patients. methods: Using what is known about this problem through review of the literature and our own experience with 20 patients, a practical treatment strategy is suggested. RESULTS: It is proposed that dermatologists and primary care professionals seeing these patients determine (1) whether or not the patient's belief in infestation is shakable and (2) whether or not the patient is depressed, in order to chose a therapeutic plan. CONCLUSIONS: Dermatologists and psychiatrists can work together to develop treatment protocols that minimize risk and maximize therapy for patients with psychogenic parasitosis.- - - - - - - - - - ranking = 1.2keywords = parasitosis (Clic here for more details about this article) |