title: Delusional infestation in a patient with renal failure, metabolic syndrome, and chronic cerebrovascular disease treated with aripiprazole: a case report.
abstract: Delusional infestation is an aspecific psychiatric condition manifested either as a primary psychotic disorder or a secondary disorder induced by a wide range of very different medical conditions. Both primary and secondary delusional infestations seem to respond to typical and atypical antipsychotics. The latter are considered the first-line treatment although the use of second-generation antipsychotics featuring a higher metabolic, cardiovascular, and renal tolerability is preferable in secondary cases, which often occur in patients with multiple, severe medical conditions. We report a case of a 72-year-old patient affected by delusional infestation associated with severe renal failure, metabolic syndrome, hypertensive cardiopathy, and chronic cerebrovascular disease.
authors.affiliation: Section of Psychiatry & Psychiatric Clinic, Department of Public Health, University of Cagliari, Via Liguria 13, 09127 Cagliari, Italy.
authors.forename: Bernardo
authors.initials: B
authors.lastname: Carpiniello
authors.forename: Federica
authors.initials: F
authors.lastname: Pinna
authors.forename: Raffaella
authors.initials: R
authors.lastname: Tuveri