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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Format: | Article |
Language: | English |
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Wiley
2018-01-01
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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. |
format | Article |
id | doaj-art-1c92921de90a42ddbb8767da94a4779a |
institution | Kabale University |
issn | 2090-682X 2090-6838 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
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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