Delusional infestation: are you being bugged?

Angeli Thakkar, Kenneth GJ Ooi, Nagi Assaad, Minas Coroneo Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW, Australia Abstract: This case report documents a 58-year-old male who presented to the clinic with a 12-month history of a burrowing sensation in his eyelids that he attri...

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Autores principales:	Thakkar A, Ooi KG, Assaad N, Coroneo M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/a05ebf70b0364ad984553cb9c9ce5a21
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spelling	oai:doaj.org-article:a05ebf70b0364ad984553cb9c9ce5a212021-12-02T00:57:19ZDelusional infestation: are you being bugged?1177-5483https://doaj.org/article/a05ebf70b0364ad984553cb9c9ce5a212015-06-01T00:00:00Zhttp://www.dovepress.com/delusional-infestation-are-you-being-bugged-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Angeli Thakkar, Kenneth GJ Ooi, Nagi Assaad, Minas Coroneo Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW, Australia Abstract: This case report documents a 58-year-old male who presented to the clinic with a 12-month history of a burrowing sensation in his eyelids that he attributed to a parasitic infestation. After being extensively investigated and reviewed by relevant specialties, no evidence of parasitic infestation was found. He was diagnosed with and treated for blepharitis. Psychiatric referral for presumed delusional infestation (DI) was recommended. Despite this, he remained insistent in his belief of infestation, and was inevitably lost to follow-up. DI, previously known as delusional parasitosis, is a rare delusional disorder where affected individuals have a fixed, false belief that they have a parasitic infestation. Diagnosis can be challenging. Practitioners need to evaluate between primary and secondary DI carefully, as management differs depending on the etiology. Despite this, patients diagnosed with primary DI tend to be resistant to psychiatric referral. This report aims to optimize management by giving the reader a guideline for appropriate investigations and advice on patient approach. It is important to recognize hallmark features of DI to minimize self-inflicted trauma and associated psychosocial consequences. Effective treatment for DI is available, and devastating consequences, including blindness, can be avoided. Keywords: delusions, parasitosis, infestation, ocular traumaThakkar AOoi KGAssaad NCoroneo MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 967-970 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Thakkar A Ooi KG Assaad N Coroneo M Delusional infestation: are you being bugged?
description	Angeli Thakkar, Kenneth GJ Ooi, Nagi Assaad, Minas Coroneo Department of Ophthalmology, Prince of Wales Hospital, Sydney, NSW, Australia Abstract: This case report documents a 58-year-old male who presented to the clinic with a 12-month history of a burrowing sensation in his eyelids that he attributed to a parasitic infestation. After being extensively investigated and reviewed by relevant specialties, no evidence of parasitic infestation was found. He was diagnosed with and treated for blepharitis. Psychiatric referral for presumed delusional infestation (DI) was recommended. Despite this, he remained insistent in his belief of infestation, and was inevitably lost to follow-up. DI, previously known as delusional parasitosis, is a rare delusional disorder where affected individuals have a fixed, false belief that they have a parasitic infestation. Diagnosis can be challenging. Practitioners need to evaluate between primary and secondary DI carefully, as management differs depending on the etiology. Despite this, patients diagnosed with primary DI tend to be resistant to psychiatric referral. This report aims to optimize management by giving the reader a guideline for appropriate investigations and advice on patient approach. It is important to recognize hallmark features of DI to minimize self-inflicted trauma and associated psychosocial consequences. Effective treatment for DI is available, and devastating consequences, including blindness, can be avoided. Keywords: delusions, parasitosis, infestation, ocular trauma
format	article
author	Thakkar A Ooi KG Assaad N Coroneo M
author_facet	Thakkar A Ooi KG Assaad N Coroneo M
author_sort	Thakkar A
title	Delusional infestation: are you being bugged?
title_short	Delusional infestation: are you being bugged?
title_full	Delusional infestation: are you being bugged?
title_fullStr	Delusional infestation: are you being bugged?
title_full_unstemmed	Delusional infestation: are you being bugged?
title_sort	delusional infestation: are you being bugged?
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/a05ebf70b0364ad984553cb9c9ce5a21
work_keys_str_mv	AT thakkara delusionalinfestationareyoubeingbugged AT ooikg delusionalinfestationareyoubeingbugged AT assaadn delusionalinfestationareyoubeingbugged AT coroneom delusionalinfestationareyoubeingbugged
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Delusional infestation: are you being bugged?

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