febrile

Febrile #114: StAR: Delusional infestation

114 Cover Art OPT

Summary

This StAR episode features the CID State-of-the-Art Review on evaluation and management of delusional infestation.

Table of Contents

Credits

Host: Sara Dong

Guests: Alexandra Mendelsohn, Alysse Wurcel

Content is based on the CID article featured in this episode although with additional writing by Sara Dong

Cover Art: Sara Dong

Edited and produced by Sara Dong with support from the Infectious Diseases Society of America (IDSA)

Our Guests

Alexandra Mendelsohn, MD

Dr. Alex Mendelsohn is a current psychiatry resident at Dell Medical School at University of Texas Austin. She completed medical school at Tufts in Boston, MA.

Alysse Wurcel, MD, MS, FIDSA

Dr. Alysse Wurcel just moved to Boston Medical Center where she is in the Division of General Internal Medicine and the Division of Infectious Diseases. She did internal medicine residency at Massachusetts General Hospital followed by ID fellowship at Columbia-Presbyterian Hospital and Tufts Medical Center. In addition to her work as an inpatient ID doctor, Dr. Wurcel has an outpatient clinic where she specializes in HIV, HCV and substance use disorder care. Dr. Wurcel provides HIV and HCV care at five county jails in eastern MA. She is an NIH and AHRQ-funded health services researchers interested in the barriers and facilitators to care for treatment and prevention of infections in people who use drugs, people who are incarcerated and people with HIV.

Culture

Alysse shared her love of golden retrievers and the fun fact of their paw colonization with Malassezia furfur

Alex has been excited about her UT women’s basketball season tickets

Consult Notes

Welcome to this Febrile StAR episode!

These StAR episodes feature discussions with authors from State-of-the-Art Review articles from the Clinical Infectious Diseases journal (CID).

This episode is based on: Mendelsohn A, Sato T, Subedi A, Wurcel AG. State-of-the-Art Review: Evaluation and Management of Delusional Infestation. Clin Infect Dis. 2024;79(2):e1-e10. doi:10.1093/cid/ciae250

Journal companion article – Executive summary link: https://academic.oup.com/cid/article-abstract/79/2/287/7718273

Goal

Listeners will be able to evaluate and manage delusional infestation

Learning Objectives

After listening to this episode, listeners will be able to:

  • Define delusional infestation
  • Discuss important features of evaluation that should be included in initial evaluation of delusional infestation based on history, exam, and labs
  • Compare pharmacologic options available for management, including those for symptom management and antipsychotics
  • Describe possible strategies to manage the complicated clinician-patient dynamic with patients with delusional infestation

Disclosures

Febrile podcast reports no relevant financial disclosures

Potential conflicts of interest are noted in the CID article as well as reproduced below:

Authors have no reported conflicts of interest

Citation

Mendelsohn, A., Wurcel, A., Dong, S. “#114: StAR: Delusional infestation”. Febrile: A Cultured Podcast. https://player.captivate.fm/episode/b0928cb5-df4a-4747-a9a7-ffd3bfe4fff2/

Transcript

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