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CASE STUDY ON
DELUSIONAL PARASITOSIS
G.V. Nagaraju
Pharm D (PB)
Intern
Patient Name: Mrs. xxx
Sex : Female
Age: 75
DOA: 19-12-2016
Department: Psychiatry
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.
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
• 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
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.
• Some reports have linked delusions of parasitosis to
hyperthyroidism, which was deemed a secondary
type of delusions of parasitosis
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
Thank You

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Case study on dp

  • 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