a *monodelusional disorder in which patients believe they or their environment are infested by living or non-living pathogens. These can range from rats in the patient’s house to microspores in the air. Most commonly, patients claim they are infested with insects, worms, parasites, mites, or inanimate threads or fibres, often underneath their skin. Many present the alleged parasite as a specimen for examination. If compliance can be established, most patients respond well to *antipsychotic medication. The term delusional infestation was first introduced by Roland W. Freudenmann and Peter Lepping in 2009, and has gradually superseded the terms delusional parasitosis and Ekbom’s syndrome.
Tapeworms (cestodes) are ribbon-shaped worms that infest the intestines of humans and animals. They are usually acquired by eating undercooked meat or fish. Tapeworms from beef, pork, and fish usually only cause mild abdominal discomfort or diarrhoea. However, if eggs of pork worms are ingested, the hatched larvae burrow into tissues to form cysts. This leads to cysticerosis, the symptoms of which are muscle pain and convulsions. Rarely, fish tapeworms cause anaemia. Dwarf tapeworms, common in the tropics, can cause diarrhoea and abdominal discomfort. Tapeworms acquired from dogs cause hydatid disease. A diagnosis is made from the presence of worm segments or eggs in the faeces. Treatment is with anthelmintic drugs.... tapeworm infestation
A common infestation with a small worm, ENTEROBIUS VERMICULARIS (pinworm), that lives in the intestines. Threadworms primarily affect children. The female adult threadworms are white and about 1 cm long (large enough to see). They lay eggs in the skin around the anus, and their movements cause tickling or itching in the anal region, often at night. Eggs are transferred from the fingers to the mouth to cause reinfestation or are carried on toys or blankets to other children. Swallowed eggs hatch in the intestine and the worms reach maturity after a period of 2–6 weeks. Diagnosis is made by seeing the worms or by applying a piece of sticky tape to the anal area to collect the worms or eggs. Treatment is with an anthelmintic drug.... threadworm infestation
the intensity with which a delusional belief is held. This can vary over time and sometimes shifts quite rapidly. Some factors, such as treatment, may temporarily or permanently reduce the intensity of a delusion, while others may work to reinforce it.... delusional intensity
a *Schneiderian first-rank symptom in which a person believes that a normal percept (product of perception) has a special meaning for him or her. For example, a cloud in the sky may be misinterpreted as meaning that someone has sent that person a message to save the world. While the symptom is particularly indicative of *schizophrenia, it also occurs in other psychoses, including *mania (in which it often has grandiose undertones).... delusional perception
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