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Olfactory Reference Syndrome with Suicidal Attempt Treated with Pimozide and Fluvoxamine

The core symptomatology of the Olfactory Reference Syndrome (ORS) is characterized by a preoccupation with the belief that one emits an offensive odor, albeit not perceived by others. The present case is that of a 75-year-old African American woman, with an unclear past psychiatric history, who was...

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Autores principales: Jegede, Oluwole, Virk, Inderpreet, Cherukupally, Karthik, Germain, Wil, Fouron, Patricia, Olupona, Tolu, Jolayemi, Ayodeji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5925182/
https://www.ncbi.nlm.nih.gov/pubmed/29850350
http://dx.doi.org/10.1155/2018/7876497
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author Jegede, Oluwole
Virk, Inderpreet
Cherukupally, Karthik
Germain, Wil
Fouron, Patricia
Olupona, Tolu
Jolayemi, Ayodeji
author_facet Jegede, Oluwole
Virk, Inderpreet
Cherukupally, Karthik
Germain, Wil
Fouron, Patricia
Olupona, Tolu
Jolayemi, Ayodeji
author_sort Jegede, Oluwole
collection PubMed
description The core symptomatology of the Olfactory Reference Syndrome (ORS) is characterized by a preoccupation with the belief that one emits an offensive odor, albeit not perceived by others. The present case is that of a 75-year-old African American woman, with an unclear past psychiatric history, who was brought into our Emergency Room after a suicide attempt. The patient reported a three-year history of a “rotten” smell from her vagina. She adamantly believes that she smells despite being told otherwise by people. The patient reported a trial of several feminine products to get rid of this smell and multiple visits to specialists but her symptoms persisted. Her symptoms involved a significant depressed mood and deterioration in her social functioning, interpersonal relationships, and self-care. She was constantly in the shower and had stopped leaving her apartment due to worries that people might smell her vagina. The culmination of her distress was the suicidal attempt, for which she was brought to the hospital. She was admitted to the inpatient psychiatric unit and started on Pimozide and Fluvoxamine. The patient made remarkable progress within a few days on admission and in the course of her hospitalization. Follow-up in our outpatient clinic shows that the patient remains completely asymptomatic with significant progress in her social functioning.
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spelling pubmed-59251822018-05-30 Olfactory Reference Syndrome with Suicidal Attempt Treated with Pimozide and Fluvoxamine Jegede, Oluwole Virk, Inderpreet Cherukupally, Karthik Germain, Wil Fouron, Patricia Olupona, Tolu Jolayemi, Ayodeji Case Rep Psychiatry Case Report The core symptomatology of the Olfactory Reference Syndrome (ORS) is characterized by a preoccupation with the belief that one emits an offensive odor, albeit not perceived by others. The present case is that of a 75-year-old African American woman, with an unclear past psychiatric history, who was brought into our Emergency Room after a suicide attempt. The patient reported a three-year history of a “rotten” smell from her vagina. She adamantly believes that she smells despite being told otherwise by people. The patient reported a trial of several feminine products to get rid of this smell and multiple visits to specialists but her symptoms persisted. Her symptoms involved a significant depressed mood and deterioration in her social functioning, interpersonal relationships, and self-care. She was constantly in the shower and had stopped leaving her apartment due to worries that people might smell her vagina. The culmination of her distress was the suicidal attempt, for which she was brought to the hospital. She was admitted to the inpatient psychiatric unit and started on Pimozide and Fluvoxamine. The patient made remarkable progress within a few days on admission and in the course of her hospitalization. Follow-up in our outpatient clinic shows that the patient remains completely asymptomatic with significant progress in her social functioning. Hindawi 2018-04-15 /pmc/articles/PMC5925182/ /pubmed/29850350 http://dx.doi.org/10.1155/2018/7876497 Text en Copyright © 2018 Oluwole Jegede et al. https://creativecommons.org/licenses/by/4.0/ 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.
spellingShingle Case Report
Jegede, Oluwole
Virk, Inderpreet
Cherukupally, Karthik
Germain, Wil
Fouron, Patricia
Olupona, Tolu
Jolayemi, Ayodeji
Olfactory Reference Syndrome with Suicidal Attempt Treated with Pimozide and Fluvoxamine
title Olfactory Reference Syndrome with Suicidal Attempt Treated with Pimozide and Fluvoxamine
title_full Olfactory Reference Syndrome with Suicidal Attempt Treated with Pimozide and Fluvoxamine
title_fullStr Olfactory Reference Syndrome with Suicidal Attempt Treated with Pimozide and Fluvoxamine
title_full_unstemmed Olfactory Reference Syndrome with Suicidal Attempt Treated with Pimozide and Fluvoxamine
title_short Olfactory Reference Syndrome with Suicidal Attempt Treated with Pimozide and Fluvoxamine
title_sort olfactory reference syndrome with suicidal attempt treated with pimozide and fluvoxamine
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5925182/
https://www.ncbi.nlm.nih.gov/pubmed/29850350
http://dx.doi.org/10.1155/2018/7876497
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