Clinical approach to delirium secondary to parasitosis
Keywords:
ANTIPSYCHOTIC AGENTS, PARASITIC DISEASES, SYNDROME.Abstract
Introduction: delusional parasitosis, also known as delusional infestation or Ekbom's syndrome, is a relatively uncommon psychotic disorder characterized by an unshakable false belief that a parasitic skin infestation exists, despite the absence of medical evidence to support this claim.
Objective: to describe the therapeutic options for patients with delusional parasitosis.
Methods: a search for information was carried out in the PubMed and SciELO databases, using the search terms: "delirious parasitosis", "delirious infestation" and "Ekbom's syndrome".
Development: in drug selection, both efficacy and possible side effects should be analyzed in detail. All atypical antipsychotics can cause metabolic dysfunction, so constant monitoring of laboratory values during therapy is necessary. There is no known consensus on the dose of antipsychotics to use in cases of delirious parasitosis. In elderly patients, the dose should be adjusted according to age, renal and hepatic function and the presence of other chronic diseases. Doses range from 1 to 8 mg/day of risperidone and 5 to 10 mg/day of olanzapine.
Conclusions: it is imperative that the treatment of parasitic delusions involves an integrated approach, with an interprofessional team consisting of physicians, specialists, psychiatric health nurses and pharmacists working collaboratively to achieve the best outcomes for patients.
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1. Boy L, Franco D, Alcaraz R, Benítez J, Guerrero D, Galeno E, et al. Parasitosis intestinales en niños de edad escolar de una institución educativa de Fernando de la Mora, Paraguay. Rev cient. Cienc. salud [Internet]. 2020 [citado 06/06/2023]; 2(1):54–62. Disponible en: https://doi.org/10.53732/rccsalud/02.01.2020.54-62
2. Pereira De Oliveira DJ, Sotelo A, Campins D, Fernández A, Milne R. Evaluación antropométrica infantil en comunidades criollas e indígenas de Maniapure, Venezuela: estudio preliminar. CIMEL [Internet]. 2020 [citado 06/06/2023]; 27(2): e1380. Disponible en: https://www.semanticscholar.org/author/Diego-Jes%C3%BAs-Pereira-De-Oliveira/2207816246
3. Navarro AG, Sáinz ÓB, Borillo JÁ, Roig PM, Ródenas RC, Goñi NY. Cocaína y síndrome de Ekbom: a propósito de un caso. Psiquiatría Biológica [Internet]. 2022 [citado 06/06/2023]; 29(2): 3. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=8698597
4. Assunção IL, Mendes AK de A, Mendes Filho K de JS, Mendes Neto PC, Carvalho PSV de, Calisto MM, et al. Síndrome de Ekbom: revisão de literatura. Res Soc Dev [Internet]. 2021 [citado 06/06/2023]; 10(16): e302101623957. Disponible en: https://rsdjournal.org/index.php/rsd/article/view/23957
5. León Ruiz M, Mitchell AJ, Benito-León J. Delirio de parasitosis en la esclerosis múltiple: una expresión enigmática de una enfermedad pleomórfica. Neurología [Internet]. 2020 [citado 06/06/2023]; 35(6): 445–8. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0213485318301166
6. Dipp Vargas C, Salguedo Siles SF, Mendoza López Videla JN, Burgoa Seaone M. Delirio de parasitosis o síndrome de Ekbom. Rev. Méd. La Paz [Internet]. 2020 [citado 06/06/2023]; 26(1): 46-9. Disponible en: http://scielo.org.bo/scielo.php?script=sci_arttext&pid=s1726-89582020000100008
7. Rodríguez-Alonso B, Álvarez-Artero E, Martínez-Goñi R, Almeida H, Casado-Espada N-M, Jaén-Sánchez N, et al. Delusional parasitosis. A multicenter retrospective study in Spanish infectious disease services. Enferm Infecc Microbiol Clin [Internet]. 2021 [citado 06/06/2023]; 39(5): 223–8. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0213005X20302639
8. Benavides Jiménez HA, Velandia Sua EA, Vargas Gil ÓA, Vargas Rodríguez LJ, Vacca Carvajal BF, Suescún Carrero SH, et al. Prevalencia de parasitismo intestinal en niños de la comunidad indígena U’wa en Boyacá, Colombia. Rev Médica Risaralda [Internet]. 2022 [citado 06/06/2023]; 28(1): e24925. Disponible en: https://revistas.utp.edu.co/index.php/revistamedica/article/view/24925
9. Hernández-Figaredo P, Ramírez-Durán I. Síndrome de Ekbom o delirio parasitario. A propósito de un caso. Arch Médico Camagüey [Internet]. 2020 [citado 06/06/2023]; 24(6): e6834. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/6834
10. Espinoza JM, Porres S, Mayen E, Orozco R. Síndrome de Ekbom, Reporte de Caso. Rev médicaGt, Colmedagua [Internet]. 2019 [citado 06/06/2023]; 158(2): 127–9. Disponible en: http://www.revistamedicagt.org/index.php/RevMedGuatemala/article/view/137
11. García Tercero E, Landaluce Pelligra V, Alonso Seco M, Porta González LA. Síndrome de Ekbom: reporte de un caso en un paciente anciano. Rev Clín Med Fam [Internet]. 2020 [citado 06/06/2023]; 13(1): 81-4. Disponible en: https://scielo.isciii.es/scielo.php?pid=S1699-695X2020000100009&script=sci_arttext&tlng=pt
12. Yenisey Gleidis MG, Ileana AG. Síndrome de Ekbom. Presentación de un caso y revisión de la literatura. Psicovilla2021 [Internet]; 2021 [citado 06/06/2023]. Disponible en: https://psicovilla2021.sld.cu/index.php/psicovilla/2021/paper/viewPaper/41
13. Cevallos Macías RA, Suárez Intriago DK, Briones Valencia SK, Calderón López EE, Veliz Mero MD, Campozano Burgos MA. Tratamiento de parasitosis intestinal en niños menores de 5 años. RECIAMUC [Internet]. 2019 [citado 06/06/2023]; 3(1): 722–49. Disponible en: http://reciamuc.com/index.php/RECIAMUC/article/view/255
14. Murillo-Zavala AM, Rivero ZC, Bracho-Mora A. Parasitosis intestinales y factores de riesgo de enteroparasitosis en escolares de la zona urbana del cantón Jipijapa, Ecuador. Kasmera [Internet]. 2020 [citado 06/06/2023]; 48(1): [aprox 10 pp.]. Disponible en: https://www.redalyc.org/journal/3730/373064123016/373064123016.pdf
15. Szepietowski J, Salomon J, Hrehorów E, Pacan P, Zalewska A, Sysa‐Jȩdrzejowska A. Delusional parasitosis in dermatological practice. JEADV [Internet]. 2007 [citado 06/06/2023]; 21(4): 462–5. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1468-3083.2006.01900.x
16. Canlı D. A case of delusional parasitosis presented as shared psychotic disorder treated successfully with aripiprazole. Indian J Psychiatry [Internet]. 2020 [citado 06/06/2023]; 62(2): 219–20. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/32382188
17. Brownstone N, Howard J, Koo J. Management of delusions of parasitosis: an interview with experts in psychodermatology. Int J Women’s Dermatology [Internet]. 2022 [citado 06/06/2023]; 8(3): e035. Disponible en: https://journals.lww.com/10.1097/JW9.0000000000000035
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