Síndrome de Otelo. Presentación de caso / Otelos syndrome. A case study

RESUMEN

Introducción: El síndrome de Otelo es un trastorno psiquiátrico de idea delirante típicamente celotípica. Objetivo: Analizar las pautas diagnósticas en el Síndrome de Otelo a partir de un caso típico. Método: Se consultó bibliografía actualizada hasta el 2016 sobre las pautas diagnósticas en el síndrome de Otelo y los avances sobre su etiología y tratamiento. Resultados: Se presenta el caso de un hombre de 51 años, padre de familia, profesor prestigiado, que después de un escándalo público acude a consulta de psiquiatría con su esposa. En consulta se vio un paciente orientado, de buenos modales, sin pérdida de los hábitos higiénicos, sin trastornos de las esferas motora, afectiva o cognoscitiva. La esposa refiere estar sometida continuamente a interrogatorios e insultos por una fuerte sensación de infidelidad conyugal que nunca se ha podido probar. En esta ocasión el motivo de la riña volvieron a ser los celos infundados llegando a agredir físicamente a sus hijos y esposa, situación que no sucede por primera vez. Al término del seguimiento y tratamiento con risperidona se observa mejoría clínica concluyéndose el caso como un trastorno de idea delirante celotípica, la cual es reconocida como síndrome de Otelo. Conclusiones: El síndrome de Otelo no ha variado las pautas de diagnóstico incluyendo antipsicóticos atípicos en la terapéutica habitual(AU)

ABSTRACT

Introduction: Otelos syndrome is a psychiatric disorder of delirious idea, which is typically caused by jealous. Objective: Analyze the diagnostic guidelines in Otelos syndrome taking a typical case as a starting point. Method: A review of updated bibliography up to 2016 about diagnostic guidelines in Otelos syndrome, and the advances on its etiology and treatment was conducted. Results: A case of a 51 year-old man, that is a father and a prestigious professor, who came to psychiatric consultation with his wife, after making a public scene, is presented. At the doctors office he was considered as an oriented patient, well-mannered, having good hygienic habits, and without any disorders in the moving, emotional and cognitive spheres. His wife said he subjected her to interrogation and insults continuously, because of a strong sensation of marital infidelity, that has never been proved. In this occasion, the cause of the quarrel were unfounded jealous again. Things have reached such a point that he attacked his children and wife physically, something that had happened before too. At the end of the monitoring and treatment using risperidone, it was observed clinical improvement ,so the case was considered as a disorder of delirious idea, typically caused by jealous, which is known as Otelos syndrome. Conclusions: Otelos syndrome has not changed diagnostic guidelines, including atypical antipsychotics in the usual therapeutics(AU)