Abstract:
Delusional infestation (DI) describes a fixed, false belief where a person believes that they are infested with living or inanimate pathogens despite the absence of medical evidence for such infestation. Descriptions of alleged pathogens have evolved over time, incorporating inanimate objects such as fibrous strands. With the emergence of Morgellons disease and its controversy, we report a case of a 40-year-old female presenting with a strong belief of scabies infestation along with fibers emerging from her skin. Further, although insects are still the most alleged source of infestation, the overlap of Morgellons disease and the delusion of infestation supports it as a DI variant and questions the notion of its existence as a separate diagnostic entity.
摘要:
妄想侵染(DI)描述了一种固定的,错误的信念,即一个人认为他们感染了活的或无生命的病原体,尽管没有医学证据证明这种感染。对所谓病原体的描述随着时间的推移而演变,结合无生命的物体,如纤维束。随着Morgellons病的出现及其争议,我们报告了一例40岁的女性,表现出强烈的sc疮感染信念,并从皮肤中露出纤维。Further,尽管昆虫仍然是最据称的侵扰源,Morgellons病的重叠和侵扰的妄想支持它作为DI变体,并质疑其作为独立诊断实体存在的概念。