Self inflicted injury in a case of delusional parasitosis

Authors

  • Anuradha Ghosh Department of Psychiatry, Medical college and Hospital Kolkata, Kolkata, West Bengal, India
  • Debasis Bhattacharyya Department of Psychiatry, District Hospital, Howrah, West Bengal, India
  • Subhendu Datta Department of Psychiatry, Medical college and Hospital Kolkata, Kolkata, West Bengal, India
  • Surjya Roy Department of Psychiatry, Medical college and Hospital Kolkata, Kolkata, West Bengal, India
  • Gautam Kumar Bandyopadhyay Department of Psychiatry, Medical college and Hospital Kolkata, Kolkata, West Bengal, India
  • Muktananda Kundu Department of Psychiatry, District Hospital, Howrah, West Bengal, India
  • Ayan Sarkar Department of Psychiatry, Medical college and Hospital Kolkata, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241925

Keywords:

Delusional parasitosis, Infestation, NSSI

Abstract

Delusional parasitosis also known as Ekbom’s syndrome, is a fixed, firm, false belief about a parasitic infestation of skin despite absence of evidence. Non-suicidal self injury (NSSI) is the deliberate and direct change leading to destruction of healthy body tissues e.g. skin cutting, scratching, burning, hitting of oneself and even enucleation of eye and amputation of body parts. We present a case of a 35-year-old male patient with delusional parasitosis for the past 3 months, referred from dermatology, who resorted to cutting himself on his arm and abdomen. He was treated successfully with anti-psychotics and had no further intention of self-harm.

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References

Reich A, Kwiatkowska D, Pacan P. Delusions of Parasitosis: An Update. Dermatol Ther (Heidelb). 2019;9(4):631-8.

Lee CS. Delusions of parasitosis. Dermatologic therapy. 2008;21(1):2-7.

Aw DC, Thong JY, Chan HL. Delusional parasitosis: case series of 8 patients and review of the literature. Ann Academy Med Singap. 2004;33(1):89-94.

Walsh BW, Rosen PM. Self-mutilation: theory, research, and treatment. New York, NY: Guilford Press. 2008;32.

Favazza AR. Nonsuicidal self-injury: How categorization guides treatment. Curr Psychiatr. 2012;11(3):21-5.

Koyanagi A, Stickley A, Haro JM. Psychotic-like experiences and non-suicidal self-injury in England: results from a national survey. PloS one. 2015;10(12):e0145533.

Lebelo LT, Grobler GP. Case study: A patient with severe delusions who self-mutilates. S Afr J Psychiatr. 2020;26:1403.

Merad Y, Belkacemi M, Medjber M. Delusional Parasitosis in a School Teacher Living in a Rural Area: Parasitological Approach. Cureus. 2022;14(2):e22147.

Steenkamp LR, De Neve-Enthoven NGM, João AM, Bouter DC, Hillegers MHJ, et al Psychotic experiences, suicidality and non-suicidal self-injury in adolescents: Independent findings from two cohorts. Schizophrenia Res. 2023;257:50-7.

Hielscher E, DeVylder JE, Saha S, Connell M, Scott JG. Why are psychotic experiences associated with self-injurious thoughts and behaviours? A systematic review and critical appraisal of potential confounding and mediating factors. Psychological Med. 2018;48(9):1410-26.

Kelleher I, Cederlöf M, Lichtenstein P. Psychotic experiences as a predictor of the natural course of suicidal ideation: a Swedish cohort study. World Psychiatr. 2014;13(2):184-8.

Armin S, LaPointe G, Jacob R. Importance of early recognition and management of delusional parasitosis. Proc (Bayl Univ Med Cent). 2021;35(2):256-58.

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Published

2024-06-29

How to Cite

Ghosh, A., Bhattacharyya, D., Datta, S., Roy, S., Bandyopadhyay, G. K., Kundu, M., & Sarkar, A. (2024). Self inflicted injury in a case of delusional parasitosis. International Journal of Research in Medical Sciences, 12(7), 2635–2638. https://doi.org/10.18203/2320-6012.ijrms20241925

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Section

Case Reports