it is a case study on dellusinal parasitosis

1. CASE STUDY ON
DELUSIONAL PARASITOSIS
G.V. Nagaraju
Pharm D (PB)
Intern

2. Patient Name: Mrs. xxx
Sex : Female
Age: 75
DOA: 19-12-2016
Department: Psychiatry

3. Chief complaints:
Sensation of Inserts crawling on the head since 1
month
Past medical history:
No H/o Epilepsy
Head injury
Fever with altered sensorium
No history of similar complaints in the past
No history of HTN, DM, Asthma.

4. B P: 130/80 mm.hg
Treatment(Rx):
Tab Sizodon(Respiridone) 1mg BD
Regarding medication:
Tab Sizodon(Respiridone) is a atypical anti psychotic
is taken by orally twice a day
Side effects:
• Aggressive behaviour
• agitation
• Anxiety
• changes in vision, including blurred vision
• difficulty concentrating

5. • difficulty speaking or swallowing
• inability to move the eyes
• increase in amount of urine
• loss of balance control
• mask-like face
• problems with urination
• trouble sleeping

6. Regarding Disease:
Delusional Parasitosis is a mistaken belief that one is
being infested by parasites such as mites, lice, fleas,
spiders, worms, bacteria, or other organisms.
Pathophysiology :
• The cause of delusions of parasitosis is unknown.
• It appears related to neuro chemical pathology.
• This concept is underlined by its induction by
psychoactive agents (eg, amphetamines, cocaine, and
methylphenidate) and its coincidence with
depression, schizophrenia, social isolation, and
sensory impairment.

7. • Some reports have linked delusions of parasitosis to
hyperthyroidism, which was deemed a secondary
type of delusions of parasitosis

8. PATIENT COUNSELLING:
 Avoid alcohol and OTC preparations.
 Strictly adhere to the drug regimen.
 Don’t miss the dose, if missed don’t double the dose.
 Don’t stop any drug when feeling better

9. Thank You