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Case Reports in Medicine
Volume 2011, Article ID 103652, 3 pages
http://dx.doi.org/10.1155/2011/103652
Case Report

Delusional Infestation in a Patient with Renal Failure, Metabolic Syndrome, and Chronic Cerebrovascular Disease Treated with Aripiprazole: A Case Report

Section of Psychiatry & Psychiatric Clinic, Department of Public Health, University of Cagliari, Via Liguria 13, 09127 Cagliari, Italy

Received 9 September 2011; Accepted 10 October 2011

Academic Editor: S. Kennedy

Copyright © 2011 Bernardo Carpiniello et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.