Othello syndrome in extramarital involvement and dilemma of psychiatrist

We are reporting two cases of Othello syndrome in the context of extramarital involvement. The symptom improved after treatment with risperidone. Reports exist in literature about extramarital involvement and its management however, there is no report of Othello syndrome in the context with extramarital involvement. This report highlights the need to explore infidelity issues while dealing with extramarital involvement.