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[妄想性寄生虫感染与感应性精神病:病例报告]

[Delusional parasitic infestation and folie à deux: case report].

作者信息

Cordeiro Quirino, Corbett Carlos Eduardo Pereira, Cordeiro Quirino

机构信息

Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.

出版信息

Arq Neuropsiquiatr. 2003 Sep;61(3B):872-5. doi: 10.1590/s0004-282x2003000500033. Epub 2003 Oct 28.

Abstract

Shared psychiatric disorder (folie deux) is a rare condition. But its prevalence can be 5-25% in patients with delusional parasitic infestation. We report the a case of a 62 years-old female with psychotic symptoms. For 15 years, she has lived with her younger sister. Since the patient was well-controled, her sister interrupted her antipsychotic drug administration. So, the patient initiated delusional parasitic infestation accompanied by visual hallucinations. Her sister, who did not have psychiatric history, initiated to believe that the patient was really infested. Moreover, she started to believe that was infested by the patient. This case report aims to discuss the relation between folie deux and delusional parasitic infestation.

摘要

共享性精神障碍(感应性精神病)是一种罕见的病症。但其在妄想性寄生虫感染患者中的患病率可达5% - 25%。我们报告一例62岁有精神病症状的女性病例。15年来,她一直与妹妹生活在一起。由于患者病情得到良好控制,其妹妹中断了她的抗精神病药物治疗。于是,患者开始出现伴有视幻觉的妄想性寄生虫感染。她没有精神病史的妹妹开始相信患者真的被寄生虫感染了。此外,她还开始认为自己也被患者感染了。本病例报告旨在探讨感应性精神病与妄想性寄生虫感染之间的关系。

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