It can be found in the context of schizophrenia and delusional disorder, such as bipolar disorder, but is also associated with alcoholism and sexual dysfunction and has been reported after neurological illness (i.e. Parkinsons). The name "Othello Syndrome" comes from the character in Shakespeares play Othello, who murders his wife as a result of a false belief that she has been unfaithful. Recently, some psychologists and psychiatrists have asserted that Othello was deceived rather than deluded about Desdemonas alleged infidelity and thus did not have ‘the Othello Syndrome’. Psychiatric history
Presenting difficulties: neurotic or psychotic jealousy
Past psychiatric history: neurotic or psychotic disorders, deliberate self-harm and attempted suicide
Family history: mental illness including pathological jealousy
Relationship history: incorporating both the current and previous relationship and taking account of the quality of the relationships and the difficulties experienced
Forensic history: previous and pending charges and convictions as well as deviant behavior which was not reported or did not result in a charge or conviction (including aggressive behavior and stalking)
Medical history: organic causes which may be responsible for the morbid jealousy (i.e. Parkinsons)

Forms
Obsessions: the individuals own thoughts are egodystonic; they are acknowledged to be senseless, and usually resisted. Jealous thoughts are experienced as intrusive and excessive, and compulsive behavior such as checking up on their partner may follow. Egodystonicity (the distress caused by thoughts that are unwanted and viewed as contrary to conscious wishes) generally varies a large amount between patients and “a continuum from obsessional to delusional, which morbid jealousy has been suggested” (Insel & Akiskal 1986).
In these cases, glucocorticoids, aerosolized epinephrine, or helium oxygen therapy may be considered as part of the management plan.Patients who are clinically stable with no need for supplemental oxygen after extraction may be discharged from the hospital the same day as the procedure. Routine imaging such as a follow-up chest x-ray are not needed unless symptoms persist or worsen, or if the patient had imaging abnormalities previously to verify return to normal. Most children are discharged within 24 hours of the procedure. Complications
Many complications can develop if a foreign body remains in the airway. There are also complications that may occur after removal of the object depending on the timeline of events. Cardiac arrest and death are possible complications if a sudden complete obstruction occurs and immediate medical care is not performed. The most common complication from a foreign body aspiration is a pulmonary infection, such as pneumonia or a lung abscess. This can be more difficult to overcome in the elderly population and lead to even further complications. Patients may develop inflammation of the airway walls from a foreign body remaining in the airway. Airway secretions can be retained behind the obstruction which creates an ideal environment for subsequent bacterial overgrowth. Hyperinflation of the airway distal to the obstruction can also occur if the foreign body is not removed.