<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942023000700035</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abordaje clínico del delirio secundario a parasitosis]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical approach to delirium secondary to parasitosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[San Lucas-Coque]]></surname>
<given-names><![CDATA[Segundo Moisés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Latorre-Barragán]]></surname>
<given-names><![CDATA[María Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pico-Pérez]]></surname>
<given-names><![CDATA[Karla Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Regional Autónoma de Los Andes  ]]></institution>
<addr-line><![CDATA[Ambato ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942023000700035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000700035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000700035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la parasitosis delirante, también conocida como infestación delirante o síndrome de Ekbom, es un trastorno psicótico relativamente infrecuente caracterizado por una falsa creencia inquebrantable de que existe una infestación parasitaria de la piel, a pesar de la ausencia de evidencia médica que pueda respaldar esta afirmación.  Objetivo:  describir las opciones terapéuticas para pacientes con parasitosis delirante.  Métodos:  se realizó una búsqueda de información en las bases de datos de PubMed y SciELO, utilizando los términos de búsqueda: &#8220;parasitosis delirante&#8221;, &#8220;infestación delirante&#8221; y &#8220;síndrome de Ekbom&#8221;.  Desarrollo:  en la selección del medicamento, se debe analizar en detalle tanto la eficacia como los posibles efectos secundarios. Todos los antipsicóticos atípicos pueden causar disfunción metabólica, por lo que es necesario un control constante de los valores de laboratorio durante la terapia. No existe un consenso conocido sobre la dosis de antipsicóticos a utilizar en casos de parasitosis delirante. En pacientes de edad avanzada, la dosis debe ajustarse según la edad, la función renal y hepática y la presencia de otras enfermedades crónicas. Las dosis oscilan entre 1 y 8 mg/día de risperidona y de 5 a 10 mg/día de olanzapina.  Conclusiones:  es imperativo que el tratamiento de los delirios de parasitosis implique un enfoque integrado, con un equipo interprofesional formado por médicos, especialistas, personal de enfermería especializado en salud psiquiátrica y farmacéuticos que trabajen en colaboración para lograr los mejores resultados para los pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  delusional parasitosis, also known as delusional infestation or Ekbom's syndrome, is a relatively uncommon psychotic disorder characterized by an unshakable false belief that a parasitic skin infestation exists, despite the absence of medical evidence to support this claim.  Objective:  to describe the therapeutic options for patients with delusional parasitosis.  Methods:  a search for information was carried out in the PubMed and SciELO databases, using the search terms: "delirious parasitosis", "delirious infestation" and "Ekbom's syndrome".  Development:  in drug selection, both efficacy and possible side effects should be analyzed in detail. All atypical antipsychotics can cause metabolic dysfunction, so constant monitoring of laboratory values during therapy is necessary. There is no known consensus on the dose of antipsychotics to use in cases of delirious parasitosis. In elderly patients, the dose should be adjusted according to age, renal and hepatic function and the presence of other chronic diseases. Doses range from 1 to 8 mg/day of risperidone and 5 to 10 mg/day of olanzapine.  Conclusions:  it is imperative that the treatment of parasitic delusions involves an integrated approach, with an interprofessional team consisting of physicians, specialists, psychiatric health nurses and pharmacists working collaboratively to achieve the best outcomes for patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ANTIPSICÓTICOS]]></kwd>
<kwd lng="es"><![CDATA[ENFERMEDADES PARASITARIAS]]></kwd>
<kwd lng="es"><![CDATA[SÍNDROME]]></kwd>
<kwd lng="en"><![CDATA[ANTIPSYCHOTIC AGENTS]]></kwd>
<kwd lng="en"><![CDATA[PARASITIC DISEASES]]></kwd>
<kwd lng="en"><![CDATA[SYNDROME]]></kwd>
</kwd-group>
</article-meta>
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