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Yıl:2005; Cilt: 43; Sayı: 3>> Özet
TAM METİN
Yeni Symposium; 2005;43(3):114-117
Bir Vak’a Sebebiyle Hezeyani Parazitoz
BÇ Poyraz, SŞ Ekmen, MK Doksat
İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Psikiyatri AD
Bu sunumda, bütün bedeninin kurtçuklar tarafından istilâ edildiği şikâyeti ile önce bir dâhiliye
hekimine, takiben de onun yönlendirmesiyle polikliniğimize başvurmuş bir hezeyanî
parazitoz vak’ası tartışılmaktadır. Hezeyanî parazitoz psikiyatri pratiğinin ender rastlanan
tablolarından birisidir. 59 yaşındaki bu erkek hastamız, literatürde bildirilen vak’a serilerindeki târişerden farklı olarak sâdece cildinin, iç organlarının veya belirli bir vücut bölgesinin
değil bütün bedeninin parazitler tarafından istilâ edildiği inancındadır. Vak’amızın bu
müstesna özelliği de dikkate alınarak hastamızdaki psikopatolojik özellikler, hastalık öncesi
kişilik yapısı ve hayat olayları, semptomun pimozid’e verdiği cevap literatürün gözden
geçirilmesi yoluyla tartışılmaktadır.

An Interesting Case Of Delusional Parasitosis
We present a case of 59 [year]s-old man with delusional disorder, somatic type, who
strongly believed that almost all of his bodily parts were infested by worms. He was referred
to our outpatient clinic by an internist to whom he first contacted. With regard to
our case’s unique presentation with the delusional content of “almost every part of his
body being infested by worms”; compared to the reported delusional content of “either
the internal organs, the skin or any particular organ” in the case series; the characteristics
of the patient’s delusion and hallucinations, premorbid life-events and personality,
and the response to pimozide therapy are discussed through review of literature.

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