Background:Parasitosis is a fixed belief of being infested with pathogens against all medical evidence [Freudenmann RW, Lepping P, 2009] Method: Case Report: A 53 year old right handed female presented with progressively severe BMS for 1 years. She noticed that aromas would project from her nose into her mouth and would experience this taste for days. Looking at the source of the odor would precipitate her to sense the smell of the product, immediately followed by the taste and then burning of the tongue, mouth and vagina. Fumes would eminent from her mouth, nose and anus. Five days prior she stopped eating and drinking. She had not brushed her teeth, showered, nor bathed for 3 weeks. Odors smell like ammonia and blood, which upon inhalation, effuse into her mouth which tastes like chemicals. Thereupon, she immediately experiences burning of her tongue and palate.Results:Abnormalities: Disheveled: Cacosmious. Personal hygiene poor. Facial expression odd and inappropriate. Loud but low quantity of speech. Unable to interpret similarities or proverbs. Calculation: poor.Conclusion:In those who present with BMS, query as to the delusional nature of their symptoms is warranted and may suggest a treatment strategy.

中文翻译：

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122 灼口综合症是妄想的焦点

背景：寄生虫病是对所有医学证据都被病原体侵染的固定信念 [Freudenmann RW, Lepping P, 2009] 方法：病例报告：一名 53 岁的右利手女性出现逐渐严重的 BMS 1 年。她注意到香气会从她的鼻子散发到她的嘴里，并且会体验这种味道好几天。看着气味的来源，她会先感觉到产品的气味，紧接着是味道，然后是舌头、嘴巴和阴道的灼热感。烟雾会从她的嘴巴、鼻子和肛门冒出来。五天前，她停止进食和饮水。她已经 3 周没有刷牙、淋浴和洗澡了。气味闻起来像氨和血，吸入后会流入她的嘴里，尝起来像化学物质。于是，她立即​​体验到她的舌头和上颚灼热。结果：异常：凌乱：恶臭。个人卫生差。面部表情古怪而不恰当。声音很大但数量很少。无法解释相似之处或谚语。计算：差。结论：在 BMS 患者中，有必要询问其症状的妄想性质，并可能提出治疗策略。