Ekbom syndrome Delusional Parasitosis Delusions of infestation From 1902 to 1938, case studies describing “parasitophobias” or “dermatological hypochondriasis”
It was first methodically described in a case series by Karl-Axel Ekbom in 1938 where a delusion of parasitic infestations associated with tactile hallucinations as well as skin manifestations were present in postmenopausal women
kbom KA. The Pre-Senile Delusion of Infestation. History of Psychiatry. 2003;14:232–256. doi: 10.1177/0957154X030142008.
It is a medical condition it is not an entomological or pest management condition and thus it cannot be treated by a pest control person.
Morgellons Disease has been confused for a pest bite or infestation
Morgellons Disease erupting skin fiber condition reemerged in 2002.
The name “Morgellons” comes from a letter written in 1674 by Sir Thomas Browne, an English physician. The letter contains a brief description of a skin disease in French children:
"Hairs which have most amused me have not been in the face or head, but on the back, and not in men but children, as I long ago observed in that endemial distemper of little children in Languedock, called the Morgellons, wherein they critically break out with harsh hairs on their backs, which takes off the unquiet symptoms of the disease, and delivers them from coughs and convulsions.
History of Morgellons disease: from delusion to definition
Is it a phycological or psychiatric condition
Clinical, Epidemiologic, Histopathologic and Molecular Features of an Unexplained Dermopathy
Delusional Infestation
Delusions of parasitosis is more common in Caucasians and tend to occur in females 2:1 over males.
Infestation vs bites vs Scabs
Entomological knowledge is very lacking in the general public but its also lacking in the medical profession.
The Importance of having a positive pest identification before treating anything.
Formication, creeping and crawling sensations. stinging, biting.
There are no invisible pests
There are microscopic pest
Pests that bite
• Mosquitoes
• Bedbugs
• Ticks
• Fleas
• Midges no-see-ums outdoor
• Spiders
Mites That Attack Humans
• Bird Mites
• Rodent Mites
Scabies Mites
• The human itch (scabies) mite burrows into the skin, causing intense itching and irritation.
• Skin between the fingers, at the bend of the elbow or knee, and at the shoulder blades are areas most often affected.
• The intense itching is accompanied by a rash.
• Scabies is a medical problem and is readily diagnosed and treated by most physicians.
Chiggers
• Chiggers (the larval stage of the harvest mite)
• No winter pest
• outdoor do not infest homes
• Chiggers are easily removed from the skin by taking a hot bath or shower and lathering with soap several times.
• Chiggers also bite people and generally are too small to be seen without magnification.
• Chigger bites produce a hardened, red welt that begins to itch intensely within 24 to 48 hours after exposure to the mite.
Lice that can infest people
• Head Lice
• Body Lice and Pubic Lice
During this type of close personal contac
It is possible for pubic lice to be transmitted from undergarments, bedding, and toilet seats,
Lice is not a pest control function
Medical complication.
• Medication
• Psychiatric Depression, schizophrenia dementia
• Diabetes, Jaundice, Cancer
• Drug use. People who use cocaine, amphetamines, NSAIDs, Steroids
• A physical exam
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