通过代理的妄想性寄生虫病病例报告:一个罕见的实体
Caroline Chivily1, Brianna Glover2
1Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA. carolinechivily@gmail.com.
BMC psychiatry
|August 9, 2025
概括
妄想性寄生虫病是一种罕见的疾病,当一个人相信他们有寄生虫时,可以通过儿童的代理发生. 这一案例突出了在儿童群体中诊断和管理这种疾病的挑战.
科学领域:
- 精神病学是一个精神病学.
- 皮肤病学 皮肤病学
- 遗传学 是一个遗传学.
背景情况:
- 妄想性寄生虫病是一种罕见的精神疾病,其特点是对感染的固定,错误的信念.
- 它可以表现为共享的妄想 (folie à deux) 或代理,影响弱势个体.
- 没有实验室证据证实了感染,这给诊断带来了挑战.
研究的目的:
- 通过代理报告患有三体 21. 的儿科患者的妄想性寄生虫病病例.
- 要突出诊断和管理这种情况在一个脆弱的人群的复杂性.
- 强调多学科方法的重要性.
主要方法:
- 一个8岁的患有21型三体病的病例报告.
- 患者的母亲表现出对寄生虫感染的固定的信念,尽管有负面的评估.
- 观察到"标本标志",以正常的样本作为证据.
主要成果:
- 患者呈现出暗示妄想性寄生虫症的症状.
- 广泛的评估未能确定任何寄生虫感染.
- 母亲对感知到的感染的固执仍然存在.
结论:
- 妄想性寄生虫病难以诊断和治疗,特别是在儿科病例中.
- 21型三体瘤的存在增加了这个案子的复杂性.
- 多学科的方法对于有效的管理和预防患者伤害至关重要.
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