scholarly journals Use of Antipsychotic Long-acting Injection in Ekbom Syndrome: A Case of Delusional Parasitosis

2020 ◽  
Vol 8 (3) ◽  
pp. 318-320
Author(s):  
Elvan ÇİÇEKÇİ ◽  
Mehmet Hamdi ÖRÜM
Keyword(s):  
Delusional Parasitosis ◽  
Ekbom Syndrome ◽  
Long Acting

Ekbom syndrome - cultural aspects from a clinical case

2011 ◽  
Vol 26 (S2) ◽  
pp. 471-471
Author(s):  
M. Olari ◽  
G. Le Vacon ◽  
M. Follet
Keyword(s):  
Social Vulnerability ◽  
Senile Dementia ◽  
Clinical History ◽  
Laboratory Evaluation ◽  
Thyroid Function Tests ◽  
Nigerian Women ◽  
Delusional Parasitosis ◽  
Cultural Aspects ◽  
Glucose Levels ◽  
Ekbom Syndrome

IntroductionEkbom syndrome is a delusional parasitosis in which the patient has the delusion of infestation by parasites. This condition might occur in concordance with senile dementia or cerebrovascular disease, but it is also present in mood disorders or schizophrenia.ObjectivesTo present a clinical description of a delusional parasitosis that appeared in a young nigerian women after she immigrated in France.AimsOur case is suggestive for showing that delusional parasitosis might develop in circumstances of social vulnerability such as the immigration and might have different cultural aspects.MethodsWe present the case of a 29 years old nigerian women that developed a delusional parasitosis 3 years after her arrival in France. The diagnosis was based on a carefully detailed clinical history, an MMSE was also applied. In order to exclude secondary causes an extensive laboratory evaluation was performed including: complete blood cell count, liver, renal and thyroid function tests, serum electrolytes and glucose levels, vitamin B12, folate, iron studies, coproanalysis, neuroimaging.ResultsThe patient had all laboratory and neuroimaging tests normal. She presented a delusional parasitosis and she described an infestation with multiple intestinal worms. She was capable of describing them and their movements under the skin and also in all the organs. She described dracunculiasis and three more different species that are commonly present in Nigeria, she never mentioned lice or mites.ConclusionsEkbom syndrome is a delusion of hallucinatory mechanism that might have different cultural presentations and could be favored by social vulnerability such as immigration.

Ekbom's Syndrome: Worms of the Mind

2016 ◽  
Vol 1 (3) ◽  
pp. 123-125
Author(s):  
Saurabh Jaiswal ◽  
Rohit K Srivastava
Keyword(s):  
Case Report ◽  
Atypical Antipsychotic ◽  
International Classification Of Diseases ◽  
International Classification ◽  
Delusional Disorder ◽  
Delusional Parasitosis ◽  
Classification Of Diseases ◽  
Ekbom Syndrome ◽  
The Mind

ABSTRACT Delusional parasitosis (DP), also known as Ekbom syndrome, is a rare, monosymptomatic psychosis where the person has an unshakable belief (i.e., delusion) of being infested with parasites. A detailed activity of the offending parasite like crawling, biting, burrowing is often given by the patients. It is commonly observed among patients over the age of 50. International Classification of Diseases (ICD) 10th revision defines this disorder as “delusional disorder.” We are presenting a case report of a patient suffering from DP, who was successfully treated on atypical antipsychotic olanzapine, together with psychoeducation and counseling. How to cite this article Jaiswal A, Jaiswal S, Srivastava RK. Ekbom's Syndrome: Worms of the Mind. Int J Adv Integ Med Sci 2016;1(3):123-125.

Ekbom syndrome in a visually impaired patient with alcohol abuse and OCD: A case report

2017 ◽  
Vol 41 (S1) ◽  
pp. s829-s829
Author(s):  
A. Portilla Fernandez ◽  
L. Montes Reula ◽  
H. Saiz García ◽  
R. Ortigosa Aguilar ◽  
A.S. Rosero Enriquez ◽  
...  
Keyword(s):  
Mental Health ◽  
Case Report ◽  
Alcohol Abuse ◽  
Visually Impaired ◽  
Compulsive Behavior ◽  
Impaired Patient ◽  
The Family ◽  
Ekbom Syndrome ◽  
Competing Interest ◽  
Long Acting

This is a case report of a 63-year-old patient with no previous attentions in mental health. He is referred by his general practitioner because he presents wounds all over his body. He reports that there is a plague of bugs at his place that bite him everywhere. Therefore, he scratches continuously, trying to remove the stingers, and injuring himself all over. The family ensures there are no bugs at all, but the patient threatens to set fire to the house in order to extinguish the plague or even kill himself. An OCD with cleaning compulsive behavior was also present since many years, as well as an alcohol abuse. The patient required hospitalization in the psychiatry service. Organic cause for the disorder was discarded. Long-acting injectable aripiprazol was introduced and the patient stopped drinking. Progressively, the delusional symptoms began to subside. Now he maintains no awareness of illness but he says the bugs are disappearing and, at least, they do not bite him anymore.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Delusional parasitosis (Ekbom syndrome) – a psychodermatologic disorder

2021 ◽  
Vol 108 (2) ◽  
pp. 160-168
Author(s):  
Jagoda Stroynowska-Kosik ◽  
Sandra Zyzak ◽  
Ewelina Biało-Wójcicka
Keyword(s):  
Delusional Parasitosis ◽  
Ekbom Syndrome

scholarly journals Ekbom Syndrome: A Case Report

2020 ◽  
Vol 6 (1) ◽  
pp. 36-39
Author(s):  
Ana Teresa Pereira ◽  
Bárbara Moura ◽  
Maria João Neves ◽  
Pedro Horta ◽  
Manuel Araújo
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Strongyloides Stercoralis ◽  
Delusional Disorder ◽  
Delusional Parasitosis ◽  
Objective Evidence ◽  
Ekbom Syndrome

Delusional parasitosis, also known as delusional infestation or Ekbom syndrome, is a somatic type of delusional disorder, usually mono‑symptomatic, in which patients are convinced they are being infested with animal parasites while no objective evidence to support their belief exists. Complaints are usually about skin infestation, but involvement of the gastrointestinal tract has also been described. We describe a case of a 59‑year‑old woman with delusional parasitosis claiming to be infected with Strongyloides stercoralis.

scholarly journals 2 What’s Bugging You? Alliaceous Therapy for Ekbom Syndrome

CNS Spectrums ◽  
2019 ◽  
Vol 24 (1) ◽  
pp. 175-176
Author(s):  
Fizah S. Chaudhary ◽  
Jasir T. Nayati ◽  
Ather M. Ali ◽  
Alan R. Hirsch
Keyword(s):  
Treatment Option ◽  
Anthelmintic Activity ◽  
Remote Memory ◽  
The Internet ◽  
Duration Of Treatment ◽  
Study Objective ◽  
Psychomotor Activity ◽  
Delusional Parasitosis ◽  
Naturopathic Medicine ◽  
Ekbom Syndrome

AbstractStudy ObjectiveDelusional parasitosis, or Ekbom syndrome, is a fixed false belief of being infested by parasites [Bellanger 2009]. With easy accessibility of the internet, serving as a vital tool in acquiring myriad information, these delusions typically arise and can be fueled by external sources as self-research [Bell2005]. For instance, garlic (allium sativum) has been reported to exhibit anthelmintic activity against cestodes (tapeworms), proving to be a natural treatmentoption [Abdel-Ghaffar 2010]. Without proper instructions, guidelines, or control of such information, psychopathological manifestations may be derived.MethodsA young adult male presented with severe psychosis. He reports responding to an internal stimuli, non-command auditory hallucinations, and paranoid ideations specifically in regards to his body and health for several weeks. Prior to presentation, he experienced abdominal pain and constipation for five days, but attributed it to the belief of having tapeworms. He stated that he researched cures for several days using the internet and found garlic as a treatment option. He attempted to alleviate his symptoms by ingested 197 pills of 1,000 milligram (mg) garlic supplements, two 100mg bisacodyl laxatives, and five 100mg docusate stool softeners in one day. He denies any suicidal/homicidal ideations, illicit substance abuse, deja-vu, and jamais-vu.ResultsPsychiatric examination is as follows: Mental Status Examination: awake, alert, and oriented x3. General Appearance: disheveled. Speech: soft, mumbling, and minimally non-responsive. Psychomotor Activity: moderately sedated. Eye Contact: poor. Mood: dysphoric. Affect: flat. Thought Process: flight of ideas. Thought Content: preoccupied. Judgement/Insight: poor. Immediate/Recent Recall: poor. Remote Memory: poor.ConclusionDelusional parasitosis and somatic parasitic infestation has dire consequences in which one's health can become compromised. For those suffering from parasitosis, addition of garlic in food as well as garlic supplements of 50mg/kg body weight has been reported as a possible naturopathic treatment option in Cryptosporidiosis and Schistosoma mansoni [Gaafar 2012; Nahed 2009]. In addition, it was found that a dose of 1.2mg for three days was efficient, safe, and shortens the duration of treatment for parasites [Soffar 1991]. However, this patient ingested 197,000mg of garlic supplements without experiencing symptoms of overdose. This may include burning sensation of the mouth or stomach, flatulence, nausea/vomiting, diarrhea, thrombocytopenia, and anaphylaxis [Bayan 2014]. The efficacy of garlic for treatment of true parasitosis is unknown, but can be found in common practice especially those who practice naturopathic medicine. In this case, it is unlikely to have a positive effect, especially when delusional in nature. The use of homeopathic medication in those with true parasitosis and delusional parasitosis should be queried.Funding Acknowledgements: Smell & Taste Treatment and Research Foundation

Delusional parasitosis or Ekbom syndrome: a case series

2006 ◽  
Vol 28 (1) ◽  
pp. 85-87 ◽  
Author(s):  
Rodrigo Nicolato ◽  
Humberto Corrêa ◽  
Marco A. Romano-Silva ◽  
Antonio L. Teixeira
Keyword(s):  
Case Series ◽  
Delusional Parasitosis ◽  
Ekbom Syndrome
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