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Othello syndrome: ¿Psychosis or dementia? A case report

Published online by Cambridge University Press:  01 September 2022

A. Franco Soler ,
P. Coucheiro Limeres ,
A. Cerame  and
H. Torregrosa Martínez
A. Franco Soler*
Affiliation:
Hospital Universitario José Germain, Psychiatry Department, Leganés, Spain
P. Coucheiro Limeres
Affiliation:
Hospital Universitario José Germain, Psychiatry Department, Leganés, Spain
A. Cerame
Affiliation:
Hospital Universitario José Germain, Psychiatry Department, Leganés, Spain
H. Torregrosa Martínez
Affiliation:
Hospital Universitario Príncipe de Asturias, Neurology, Alcala de Henares, Spain
*
*Corresponding author.

Abstract

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Introduction

Othello syndrome (OS) is a psychiatric condition consisting of delusional jealousy, and irritability. It is often associated with psychiatric or neurological disorders. The most common are delusional disorder and dementia.

Objectives

The purpose of this poster is to examine the phenomenon of OS and its etiopathogenesis throughout a case report.

Methods

We present the case of a 78-year-old male patient who was treated in our department due to delusional jealousy and depressive symptoms. The patient has a medical history of cardiac events in the past, being stable at the current moment. We performed a detailed psychiatric and physical history paying special attention to personality traits in the past. The patient was administered Mini Mental State Examination and CamCog (subscale of Camdex).

Results

According to him and his family our patient had neither episodes of jealousy nor affective disorders. His results were: 18 in MMSE and 57 in CamCog. Both compatible with a dementia course.

Conclusions

Attending our results we inferred that the OS belongs to a dementia clinical picture instead of a psychotic disorder. Therefore we decided to treat the patient with neuroleptics, with partial improvement, and to start cognitive stimulation treatment in a day centre and a short term psychological family intervention to help the family to understand and cope with the course of dementia. Thus, clinicians should keep in mind the possible organic origin of OS, especially in elderly persons, to develop an appropriate individual and familiar case approach.

Disclosure

No significant relationships.

Keywords

Othello syndromeCamCogDementiadelusional jealousy
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S653
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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