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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Main Authors: Oluwole Jegede, Inderpreet Virk, Karthik Cherukupally, Wil Germain, Patricia Fouron, Tolu Olupona, Ayodeji Jolayemi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2018/7876497
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author Oluwole Jegede
Inderpreet Virk
Karthik Cherukupally
Wil Germain
Patricia Fouron
Tolu Olupona
Ayodeji Jolayemi
author_facet Oluwole Jegede
Inderpreet Virk
Karthik Cherukupally
Wil Germain
Patricia Fouron
Tolu Olupona
Ayodeji Jolayemi
author_sort Oluwole Jegede
collection DOAJ
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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series Case Reports in Psychiatry
spelling doaj-art-1c92921de90a42ddbb8767da94a4779a2025-02-03T06:07:06ZengWileyCase Reports in Psychiatry2090-682X2090-68382018-01-01201810.1155/2018/78764977876497Olfactory Reference Syndrome with Suicidal Attempt Treated with Pimozide and FluvoxamineOluwole Jegede0Inderpreet Virk1Karthik Cherukupally2Wil Germain3Patricia Fouron4Tolu Olupona5Ayodeji Jolayemi6Department of Psychiatry, Interfaith Medical Center, Brooklyn, NY 11213, USADepartment of Psychiatry, Interfaith Medical Center, Brooklyn, NY 11213, USADepartment of Psychiatry, Interfaith Medical Center, Brooklyn, NY 11213, USADepartment of Psychiatry, Interfaith Medical Center, Brooklyn, NY 11213, USADepartment of Psychiatry, Interfaith Medical Center, Brooklyn, NY 11213, USADepartment of Psychiatry, Interfaith Medical Center, Brooklyn, NY 11213, USADepartment of Psychiatry, Interfaith Medical Center, Brooklyn, NY 11213, USAThe 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.http://dx.doi.org/10.1155/2018/7876497
spellingShingle Oluwole Jegede
Inderpreet Virk
Karthik Cherukupally
Wil Germain
Patricia Fouron
Tolu Olupona
Ayodeji Jolayemi
Olfactory Reference Syndrome with Suicidal Attempt Treated with Pimozide and Fluvoxamine
Case Reports in Psychiatry
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
url http://dx.doi.org/10.1155/2018/7876497
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