Taking care of patients with delusional parasitosis can be challenging. This report illustrates\nthe added management complexity and ethical dilemmas surrounding a patient who was newly\ndiagnosed with an incurable lung cancer, while at the same time was suffering from delusional\nparasitosis. Her delusion was so profound that she blamed flukes for her respiratory failure and\nrefused treatment of her cancer. This paper emphasizes making the right decision with the greater\ngood in mind, even if this meant â??yieldingâ? to a patientâ??s delusion and treating the non-existing\nparasitosis in order for her to allow us to also treat the cancer.
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