{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T22:33:46Z","timestamp":1773786826249,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":324,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Psychiatry"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Delusional infestation (DI), or delusional disorder, somatic type, is a rare psychiatric condition characterized by a fixed false belief of infestation despite lack of medical evidence. Patients frequently resist psychiatric care due to poor insight and somatic preoccupation, increasing the risk of delayed diagnosis and serious self\u2010harm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report the case of a 60\u2010year\u2010old woman with no prior psychiatric history who presented with 11.5% total body surface area (TBSA) second\u2010 and third\u2010degree self\u2010inflicted burns resulting from attempts to eradicate perceived skin parasites. She reported a 2\u2010year history of pruritus attributed to \u201cshiny fiberglass bacteria,\u201d with associated tactile hallucinations. Extensive medical workup excluded underlying anatomic, inflammatory, or infectious etiologies. The psychiatry consultant diagnosed her with delusional disorder, somatic type. Treatment with low\u2010dose risperidone and doxepin was initiated following empathic, nonconfrontational engagement. Her distress improved, and she demonstrated early signs of insight by the time of hospital discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights the risk of severe self\u2010injury in DI and underscores the need for timely psychiatric evaluation and a compassionate, collaborative approach. Reframing treatment goals to prioritize symptom relief over delusional challenge may enhance engagement and facilitate recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crps\/8626785","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T08:19:17Z","timestamp":1763713157000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Undiagnosed Delusional Infestation Leading to Severe Self\u2010Inflicted Injuries: A Case Report"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3658-1893","authenticated-orcid":false,"given":"Xiaofeng","family":"Yan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsi","family":"Anselmi-Stith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James A.","family":"Bourgeois","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"e_1_2_9_1_2","unstructured":"Diagnostic and Statistical Manual of Mental Disorders 2022 5th edition. Washington: American Psychiatric Association 90\u201391."},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2018.12.012"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/ipj.ipj_240_23"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00018-09"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13786"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1159\/000284934"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2021.2001126"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h1328"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/trstmh\/trae054"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.2190\/M8M5-H1G2-1257-2017"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.20081"}],"container-title":["Case Reports in Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crps\/8626785","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crps\/8626785","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crps\/8626785","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T18:57:41Z","timestamp":1773773861000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crps\/8626785"}},"subtitle":[],"editor":[{"given":"Nikhat","family":"Kaura","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/crps\/8626785"],"URL":"https:\/\/doi.org\/10.1155\/crps\/8626785","archive":["Portico"],"relation":{},"ISSN":["2090-682X","2090-6838"],"issn-type":[{"value":"2090-682X","type":"print"},{"value":"2090-6838","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2025-06-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"8626785"}}