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Delusional parasitosis in ENT.

Satheesh Kumar Bhandary¹, Ranjit Peter, Shrinivas Bhat

¹Department of Ear, Nose and Throat, Justice K.S.Hegde Charitable Hospital, K.S.Hegde Medical Academy, Deralakatte, Mangalore, 574 160 Karnataka India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|November 3, 2012

Summary

Otolaryngologists frequently see ear and nose foreign bodies, sometimes insects. This study highlights the overlooked condition of delusional parasitosis, presenting three Indian patient cases.

Keywords:

Delusional parasitosis Morgellons disease

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Area of Science:

Otolaryngology
Psychiatry
Dermatology

Background:

Insects are common foreign bodies in the ear and nose in India.
Otolaryngologists may overlook delusional parasitosis, a condition where patients believe they are infested with parasites.

Purpose of the Study:

To report three cases of delusional parasitosis encountered in an Otolaryngology outpatient department.
To raise awareness among otolaryngologists about this underdiagnosed condition.

Main Methods:

Case report series.
Clinical observation and diagnosis of delusional parasitosis in three patients presenting with somatic symptoms.

Main Results:

Three patients presented with a strong conviction of being infested with insects or other parasites in their ears and nose.
Standard otolaryngological examination did not reveal any actual foreign bodies or infestation.

Conclusions:

Delusional parasitosis is a significant, though often missed, diagnosis in otolaryngology.
Increased clinical suspicion and appropriate psychiatric referral are crucial for managing these patients.