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Vol. 49. Issue 2.
Pages 115-119 (April - June 2020)
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Vol. 49. Issue 2.
Pages 115-119 (April - June 2020)
Case report
DOI: 10.1016/j.rcpeng.2018.09.001
Othello syndrome secondary to cerebral tuberculoma: A case report
Síndrome de Otelo secundario a tuberculoma cerebral: a propósito de un caso
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Mariella Strobbe-Barbata,b, Luis Enrique Macedo-Orregoa,c, Lizardo Cruzadoa,b,
Corresponding author
Lizardo_cruzado@yahoo.com

Corresponding author.
a Instituto Nacional de Salud Mental Honorio Delgado-Hideyo Noguchi, Lima, Peru
b Universidad Peruana Cayetano Heredia, Lima, Peru
c Universidad Nacional Mayor de San Marcos, Lima, Peru
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Abstract
Introduction

Othello syndrome, an eponym of Shakespeare's character, is a transnosological diagnostic term that designates a clinical picture characterised by the presence of delusions of infidelity with respect to a partner and that, consequently, can lead to typical jealousy attitudes and violent behaviour towards the partner. In its pure form, it corresponds to delusional disorder of infidelity, but it may also be secondary to brain organicity and drug use.

Methods

Case report and non-systematic review of the relevant literature.

Case presentation

A 26-year-old man, with a history of drug abuse and a victim of domestic violence as a child, presented with tonic–clonic seizures and intracranial hypertension three years ago, for which he underwent a craniotomy with the finding of a right frontal cerebral tuberculoma. After a lapse, he developed a clinical picture of delusions of infidelity regarding his partner and violent behaviour towards her.

Literature review

Delusional jealousy is associated, like other delusions, with lesions of the right frontal lobe. Despite the high and growing prevalence of tuberculosis worldwide, there are no reported cases of Othello syndrome secondary to cerebral tuberculoma in the literature.

Conclusion

Othello syndrome, although not the main cause of domestic violence, can be associated with particularly violent manifestations and be secondary to cerebral tuberculoma. This is the first published case of its kind.

Keywords:
Tuberculoma
Paranoid disorders
Jealousy
Domestic violence
Resumen
Introducción

El síndrome de Otelo, epónimo del personaje de Shakespeare, es un término diagnóstico transnosológico que designa un cuadro caracterizado por delirios de infidelidad respecto a la pareja que, por consiguiente, puede acarrear actitudes celotípicas y conductas violentas hacia ella. En su forma pura, corresponde al trastorno delirante de infidelidad, pero también puede ser secundario a organicidad cerebral y a consumo de drogas.

Métodos

Reporte de caso y revisión no sistemática de la literatura relevante.

Presentación del caso

Varón de 26 años con antecedente de consumo de drogas y víctima de maltrato infantil, 3 años antes había sufrido crisis convulsivas tónico-clónicas e hipertensión intracraneal, por lo que se sometió a una craneotomía, en la que se halló un tuberculoma cerebral frontal derecho. Tras un lapso, comenzó con delirios de infidelidad y conductas violentas hacia su pareja.

Revisión de la literatura

Los celos delirantes se asocian, como otros delirios, a lesiones del lóbulo frontal derecho. Pese a la elevada y creciente prevalencia mundial de tuberculosis, no se han publicado casos de síndrome de Otelo secundario a tuberculoma cerebral.

Conclusiones

El síndrome de Otelo, aunque no es la principal causa de violencia doméstica, puede asociarse con manifestaciones particularmente violentas y ser secundario a tuberculoma cerebral. Este es el primer caso de tal índole que se publica.

Palabras clave:
Tuberculoma
Trastornos paranoides
Celos
Violencia doméstica

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