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September 16, 2025European PsychiatryOpen Access

Ekbom Syndrome in the context of psychotic depression and cocaine use: A case report

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Authors

CMC. P. MurtaFSFábio SilvaLKLeo Kobayashi

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Overview

Case report reveals complex interplay of delusional infestation and psychotic depression with cocaine use.

Key Points

  • Delusional infestation can occur alongside cocaine use, complicating diagnosis and treatment approaches.
  • Literature review indicated that over half of patients with delusional infestation also have a history of depression.
  • The case illustrates how cocaine use exacerbates symptoms of formication, affecting the patient's mental state.
  • Diagnosing delusional infestation requires careful consideration of psychiatric background and substance use factors.

Cite This Study

Murta et al. (2025) studied this question.

synapsesocial.com/papers/68d4507931b076d99fa57e29https://doi.org/10.1192/j.eurpsy.2025.974
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Under the Surface: A Case of Secondary Delusional Infestation With Mood-Congruent Psychotic Features in a 56-Year-Old Woman2026
  2. 2Differential diagnosis of acute psychosis after cocaine consumption: a case report2024
  3. 3Understanding Delusional Infestation: from pattern recognition to pathogenesis2026
  4. 4Delusional parasitosis: the importance of a multidisciplinary approach2024
  5. 5Ekbom Syndrome: A case report and literature review2025