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Delusion of Snake Infestation Following Sexual Intercourse: Report of Two Cases

Sidney Winford, Dante M. Durand, Andrew Klise and Ricardo Cáceda

Delusional infestation, a condition wherein a person believes his or her body to be infested with living organisms, has been observed in patients with primary psychotic disorders, as well as those with psychotic episodes secondary to mood disorders. Here we describe two similar cases of delusional snake infestation following sexual intercourse in female patients, one with schizophrenia and the other with new diagnosis of bipolar disorder. During the course of hospitalization, both patients misinterpreted abdominal pain/abnormal sensation following sexual intercourse as snakes infesting various parts of the abdomen and genital tract. In both cases, symptoms rapidly resolved after antipsychotic and appropriate medical treatment