Real Bugs are Bad Enough; Are Imaginary Ones Worse?

PHOTO: Dolphin stomach infested with parasites, by Jeremy Sternberg

Delusional parasitosis is a rare and uncomfortable condition in which people come to be convinced—quite falsely—that they have been infested by parasites. There’s no single cause of delusional parasitosis; sometimes it arises as a manifestation of some underlying psychiatric disorder, such as schizophrenia, but in other cases it emerges in otherwise seemingly healthy, rational people.

I’ve just come across a fascinating case study of eight patients with DP in Singapore, notable because it contains detailed descriptions of the beliefs and behaviors inspired by the condition. One 65-year-old housewife complained of “threadlike worms dropping from pigeon droppings, then becoming insects which fly off from her hair.” She said she heard the noises made by the insects as they bit her, a sound like “tuck, tuck, tuck.” She poured kerosene on her head to try to kill them. A 60-year-old fruit seller saw “small, black, thorny parasites with 8 legs crawling in his skin,” which he believed had been caused by black magic directed at him by another seller in the market where he worked. This man was so tormented by his condition that he tried to hang himself three times.

You can read the entire article here.

(One final note: Many doctors contend delusional parasitosis is behind the strange symptoms reported by people who believe they have a controversial disorder known as Morgellons Disease. So far Morgellons has not been widely accepted as a real diagnosis in the medical community, but so many patients have complained about their terrible suffering, which purportedly includes the discovery of bizarre and unidentifiable fibers lodged beneath their skin, that the CDC recently launched an epidemiological study of it.)