Delusions of Disseminated Fungosis
Introduction. Delusional infestation is a rare monosymptomatic hypochondriacal psychosis according to The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013). It can be a primary disorder or associated with an underlying psychological or phy...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2014/458028 |
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| author | Ian Gassiep Paul Matthew Griffin |
| author_facet | Ian Gassiep Paul Matthew Griffin |
| author_sort | Ian Gassiep |
| collection | DOAJ |
| description | Introduction. Delusional infestation is a rare monosymptomatic hypochondriacal psychosis according to The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013). It can be a primary disorder or associated with an underlying psychological or physical disorder. It commonly presents as delusional parasitosis, and less than 1% may be fungi related. We present this case as it is a rare presentation of a rare condition. Case Presentation. Our patient is a 60-year-old Caucasian man who presented with a 7-year history of delusional infestation manifested as a disseminated fungal infection. He had previously been reviewed by multiple physicians for the same with no systemic illness diagnosed. After multiple reviews and thorough investigation we diagnosed him with a likely delusional disorder. As is common with this patient cohort he refused psychiatric review or antipsychotic medication. Conclusion. A delusion of a disseminated fungal infestation is a rare condition. It is exceedingly difficult to treat as these patients often refuse to believe the investigation results and diagnosis. Furthermore, they either refuse or are noncompliant with treatment. Multidisciplinary outpatient evaluation may be the best way to allay patient fears and improve treatment compliance. |
| format | Article |
| id | doaj-art-95734f855efb417382990d1576e0a084 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-95734f855efb417382990d1576e0a0842025-08-20T03:37:02ZengWileyCase Reports in Infectious Diseases2090-66252090-66332014-01-01201410.1155/2014/458028458028Delusions of Disseminated FungosisIan Gassiep0Paul Matthew Griffin1Department of Infectious Diseases, Mater Health Services and Mater Medical Research Institute, Brisbane, QLD 4101, AustraliaDepartment of Infectious Diseases, Mater Health Services and Mater Medical Research Institute, Brisbane, QLD 4101, AustraliaIntroduction. Delusional infestation is a rare monosymptomatic hypochondriacal psychosis according to The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013). It can be a primary disorder or associated with an underlying psychological or physical disorder. It commonly presents as delusional parasitosis, and less than 1% may be fungi related. We present this case as it is a rare presentation of a rare condition. Case Presentation. Our patient is a 60-year-old Caucasian man who presented with a 7-year history of delusional infestation manifested as a disseminated fungal infection. He had previously been reviewed by multiple physicians for the same with no systemic illness diagnosed. After multiple reviews and thorough investigation we diagnosed him with a likely delusional disorder. As is common with this patient cohort he refused psychiatric review or antipsychotic medication. Conclusion. A delusion of a disseminated fungal infestation is a rare condition. It is exceedingly difficult to treat as these patients often refuse to believe the investigation results and diagnosis. Furthermore, they either refuse or are noncompliant with treatment. Multidisciplinary outpatient evaluation may be the best way to allay patient fears and improve treatment compliance.http://dx.doi.org/10.1155/2014/458028 |
| spellingShingle | Ian Gassiep Paul Matthew Griffin Delusions of Disseminated Fungosis Case Reports in Infectious Diseases |
| title | Delusions of Disseminated Fungosis |
| title_full | Delusions of Disseminated Fungosis |
| title_fullStr | Delusions of Disseminated Fungosis |
| title_full_unstemmed | Delusions of Disseminated Fungosis |
| title_short | Delusions of Disseminated Fungosis |
| title_sort | delusions of disseminated fungosis |
| url | http://dx.doi.org/10.1155/2014/458028 |
| work_keys_str_mv | AT iangassiep delusionsofdisseminatedfungosis AT paulmatthewgriffin delusionsofdisseminatedfungosis |