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State-of-the-Art Review: Evaluation and Management of Delusional Infestation
Alexandra Mendelsohn1, Taisuke Sato2, Ankita Subedi2
1Tufts University School of Medicine, Infectious Diseases, Boston, Massachusetts, USA.
Abstract:
Delusional infestation is a condition encountered frequently by healthcare professionals across a variety of specialties in which patients have a fixed, false belief that they are infested with living creatures, such as bugs, parasites, worms, or mites, or nonliving objects, such as fibers. Delusional infestation can be debilitating for patients, who not only present with intense psychological distress and physical discomfort but are also at risk of developing numerous dermatological and psychiatric complications. This condition poses unique diagnostic challenges, as these symptoms can occur secondary to many metabolic or infectious causes, as well as unique treatment challenges, with patients frequently refusing psychiatric care and consequently seeking evaluation by other healthcare professionals. In this review, we aim to use existing literature to provide clinicians in infectious diseases or other specialties with sufficient clinical context and treatment guidance for the appropriate management of delusional infestation.
Insights
Delusional infestation is a fixed belief of being infested, causing distress and complications. This review guides clinicians in managing this challenging condition.
Area of Science:
- Medical Science
- Psychiatry
- Dermatology
Background:
- Delusional infestation is a frequent challenge across medical specialties.
- Patients hold a fixed, false belief of infestation by creatures or objects.
- The condition causes significant psychological distress, physical discomfort, and risks of complications.
Purpose of the Study:
- To provide clinicians with clinical context for delusional infestation.
- To offer treatment guidance for healthcare professionals.
- To address diagnostic and treatment challenges.
Main Methods:
- Literature review of existing studies on delusional infestation.
- Synthesis of clinical information for healthcare providers.
- Focus on management strategies for various specialties.
Main Results:
- Delusional infestation presents unique diagnostic difficulties.
- Patients often refuse psychiatric care, complicating treatment.
- Management requires a multidisciplinary approach.
Conclusions:
- Clinicians need adequate context to manage delusional infestation effectively.
- Guidance is crucial for addressing patient distress and complications.
- This review aims to support appropriate patient care.
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