Howes Catriona F, Sharp Clifford
Department of Psychiatry, NHS Borders, Melrose, UK.
Psychiatry, Huntlyburn, NHS Borders, Melrose, UK.
BMJ Case Rep. 2018 Sep 23;2018:bcr-2018-226020. doi: 10.1136/bcr-2018-226020.
The case describes an adult diagnosed with attention deficit hyperactivity disorder and treated with atomoxetine who quickly developed a florid case of delusional infestation. The patient described very distressing experiences that were significantly impacting her daily life. The symptoms improved with the withdrawal of atomoxetine and resolved completely with antipsychotic medications. Atomoxetine is proposed as the putative causative agent in this case.
该病例描述了一名被诊断患有注意力缺陷多动障碍并接受托莫西汀治疗的成年人,其迅速发展为一例妄想性寄生虫病的典型病例。患者描述了非常痛苦的经历,这些经历对她的日常生活产生了重大影响。停用托莫西汀后症状有所改善,使用抗精神病药物后症状完全消失。在该病例中,托莫西汀被认为是可能的致病因素。