Delusional infestation is a condition encountered frequently by healthcare professionals across a variety of specialties in which patients have a fixed, false belief that they are infested with living creatures, such as bugs, parasites, worms, or mites, or nonliving objects, such as fibers. Delusional infestation can be debilitating for patients, who not only present with intense psychological distress and physical discomfort but are also at risk of developing numerous dermatological and psychiatric complications. This condition poses unique diagnostic challenges, as these symptoms can occur secondary to many metabolic or infectious causes, as well as unique treatment challenges, with patients frequently refusing psychiatric care and consequently seeking evaluation by other healthcare professionals. In this review, we aim to use existing literature to provide clinicians in infectious diseases or other specialties with sufficient clinical context and treatment guidance for the appropriate management of delusional infestation.

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最新综述：妄想性感染的评估和管理


妄想性感染是各种专业的医疗保健专业人员经常遇到的一种情况，患者有一种固定的、错误的信念，认为他们感染了活物，如虫子、寄生虫、蠕虫或螨虫，或非生物物体，如纤维。妄想性感染可能会使患者虚弱，他们不仅会出现强烈的心理困扰和身体不适，而且还有发展为许多皮肤病和精神并发症的风险。这种情况带来了独特的诊断挑战，因为这些症状可能继发于许多代谢或感染原因，以及独特的治疗挑战，患者经常拒绝精神科护理，因此寻求其他医疗保健专业人员的评估。在本综述中，我们旨在利用现有文献为传染病或其他专业的临床医生提供足够的临床背景和治疗指导，以适当管理妄想性感染。