Oral manifestations of delusional infestation: a case series

Abstract Background Delusional infestation (DI) is a rare psychotic disorder characterized by a patient’s false belief that the body is infested with living or non-living organisms in the absence of clinical evidence of disease. Based on the underlying etiology, DI can be classified into primary and...

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Main Authors: Zahra Alsafwani, Morooj Aljishi, Caroline Shiboski, Richard Jordan, Alessandro Villa
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-022-02664-7
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author Zahra Alsafwani
Morooj Aljishi
Caroline Shiboski
Richard Jordan
Alessandro Villa
author_facet Zahra Alsafwani
Morooj Aljishi
Caroline Shiboski
Richard Jordan
Alessandro Villa
author_sort Zahra Alsafwani
collection DOAJ
description Abstract Background Delusional infestation (DI) is a rare psychotic disorder characterized by a patient’s false belief that the body is infested with living or non-living organisms in the absence of clinical evidence of disease. Based on the underlying etiology, DI can be classified into primary and secondary forms based on the presence or absence of an underlying condition or previously diagnosed psychiatric disorder. This paper discusses a condition that is not commonly reported in the literature. Case presentation Here, we describe four patients diagnosed with DI of the oral cavity. In each case, the patients’ intraoral examinations revealed either traumatic lesions or no signs of mucosal disease. Management involved symptom management, medical therapy, and/or a referral to the primary care provider. Conclusion Because oral health care providers may encounter patients with DI, they should familiarize themselves with this unusual condition in order to recognize the condition and initiate prompt referral to a psychiatrist.
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spelling doaj.art-25f5dcac255b475ebfe6147d0e3160952023-01-01T12:29:13ZengBMCBMC Oral Health1472-68312022-12-012211710.1186/s12903-022-02664-7Oral manifestations of delusional infestation: a case seriesZahra Alsafwani0Morooj Aljishi1Caroline Shiboski2Richard Jordan3Alessandro Villa4Department of Orofacial Sciences, School of Dentistry, University of California San FranciscoDepartment of Orofacial Sciences, School of Dentistry, University of California San FranciscoDepartment of Orofacial Sciences, School of Dentistry, University of California San FranciscoDepartment of Orofacial Sciences, School of Dentistry, University of California San FranciscoDepartment of Orofacial Sciences, School of Dentistry, University of California San FranciscoAbstract Background Delusional infestation (DI) is a rare psychotic disorder characterized by a patient’s false belief that the body is infested with living or non-living organisms in the absence of clinical evidence of disease. Based on the underlying etiology, DI can be classified into primary and secondary forms based on the presence or absence of an underlying condition or previously diagnosed psychiatric disorder. This paper discusses a condition that is not commonly reported in the literature. Case presentation Here, we describe four patients diagnosed with DI of the oral cavity. In each case, the patients’ intraoral examinations revealed either traumatic lesions or no signs of mucosal disease. Management involved symptom management, medical therapy, and/or a referral to the primary care provider. Conclusion Because oral health care providers may encounter patients with DI, they should familiarize themselves with this unusual condition in order to recognize the condition and initiate prompt referral to a psychiatrist.https://doi.org/10.1186/s12903-022-02664-7Delusional infestationDelusional parasitosisPsychiatric disorderOral medicineCase reportCase series
spellingShingle Zahra Alsafwani
Morooj Aljishi
Caroline Shiboski
Richard Jordan
Alessandro Villa
Oral manifestations of delusional infestation: a case series
BMC Oral Health
Delusional infestation
Delusional parasitosis
Psychiatric disorder
Oral medicine
Case report
Case series
title Oral manifestations of delusional infestation: a case series
title_full Oral manifestations of delusional infestation: a case series
title_fullStr Oral manifestations of delusional infestation: a case series
title_full_unstemmed Oral manifestations of delusional infestation: a case series
title_short Oral manifestations of delusional infestation: a case series
title_sort oral manifestations of delusional infestation a case series
topic Delusional infestation
Delusional parasitosis
Psychiatric disorder
Oral medicine
Case report
Case series
url https://doi.org/10.1186/s12903-022-02664-7
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AT richardjordan oralmanifestationsofdelusionalinfestationacaseseries
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