Current understanding and approach to delusional infestation.

@article{Moriarty2019CurrentUA,
  title={Current understanding and approach to delusional infestation.},
  author={Natalie Moriarty and Mariam Alam and Andrea Kalus and Kim O'Connor},
  journal={The American journal of medicine},
  year={2019}
}
Delusional infestation: an interface with psychiatry
TLDR
How clinicians in all specialties should approach patients presenting with the disorder is discussed and differential diagnosis and associated laboratory tests are outlined.
Delusional infestation: What nurses should know.
TLDR
Signs and symptoms, available treatments, and appropriate nursing interventions for patients with primary delusional infestation are described.
Ekbom Syndrome: A Case Report
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A case of a 59‑year‑old woman with delusional parasitosis claiming to be infected with Strongyloides stercoralis is described.
Treatments for primary delusional infestation: a systematic review (Preprint)
TLDR
Atypical antipsychotic drugs appear to be more effective than typical antipsychotics for the treatment of primary DI, and larger studies and randomized controlled trials are needed to evaluate the efficacy of pharmacological therapy for DI.
Why Delusional Infestation should remain Delusional Infestation
TLDR
It is shown that a longer duration of untreated illness is associated with worse outcomes, and practitioners who see affected individuals should focus on early intervention that requires early engagement and rapport with the patient to facilitate meaningful and effective treatment.
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The present comprehensive review aims at investigating Ekbom’s syndrome, from a historical, epidemiological, clinical and therapeutic perspective, by providing diagnostic-treatment strategies in managing this condition in routine psychiatric clinical settings.
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References

SHOWING 1-10 OF 38 REFERENCES
Delusional infestations: clinical presentation, diagnosis and treatment
TLDR
An overview of delusional infestations including its clinical presentation, diagnosis, and treatment is provided including strategies on how to establish a strong therapeutic alliance with DI patients are discussed.
Patients with delusional infestation (delusional parasitosis) often require prolonged treatment as recurrence of symptoms after cessation of treatment is common: an observational study
TLDR
Delusional infestation is an uncommon psychiatric disorder in which patients present with the false and fixed belief of infestation and improvement with pharmacological treatment is demonstrated.
An international study of the prevalence of substance use in patients with delusional infestation
Delusional infestation may be caused by recreational drug usage in some patients, but they may not disclose their habit
TLDR
A pilot study observing the prevalence of recreational drug use in patients with delusional infestation found that symptoms of infestation such as formication can be secondary to use of recreational drugs and alcohol.
Delusional infestation versus Morgellons disease.
Delusions of infestation: treatment by depot injections of neuroleptics
  • A. Frithz
  • Psychology, Medicine
    Clinical and experimental dermatology
  • 1979
Fifteen patients with monosymptomatic hypochondriacal psychosis manifesting as delusions of infestation have been treated by depot injections of neuroleptic drugs (fluphenazine decanoate or
Delusional Infestation
SUMMARY This papers aims at familiarizing psychiatric and nonpsychiatric readers with delusional infestation (DI), also known as delusional parasitosis. It is characterized by the fixed belief of
Delusional infestation and the specimen sign: a European multicentre study in 148 consecutive cases
TLDR
Systematic studies of delusional infestation, also known as delusional parasitosis, are scarce and little is known about the specimens that patients provide to prove their infestation.
How to approach delusional infestation
TLDR
Delusional infestation is characterised by a patient’s fixed belief that his or her skin, body, or immediate environment is infested by small, living pathogens despite the lack of any medical evidence for this.
Delusions of parasitosis.
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