Fecal microbiota transplantation to treat Parkinson's disease with constipation
In: Medicine, Jg. 98 (2019-06-01), S. e16163
Online
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Rationale: Fecal microbiota transplantation (FMT) is recognized as an emerging treatment through reconstruction of gut microbiota. Parkinson's disease is a neurodegenerative disorder, which is accompanied by constipation. Here we first reported a patient with Parkinson's disease and constipation that were obviously relieved after FMT. Patient concerns: A 71-year-old male patient presented with 7 years of resting tremor, bradykinesia (first inflicted the upper limbs and subsequently spread to lower limbs), and intractable constipation (defecation needing more than 30 minutes). Diagnoses: Parkinson's disease for 7 years; constipation >3 years. Interventions: The patient had used madopar, pramipexole, and amantadine for anti-Parkinson and showed partially mitigation while laxative therapy for constipation failed. Finally FMT was performed. Outcomes: The patient successfully defecated within 5 minutes and maintained daily unobstructed defecation until the end of follow-up. The patient's tremor in legs almost disappeared at 1 week after FMT but recurred in the right lower extremity at 2 months after FMT. Lessons: Gut microbiota reconstruction may have therapeutic effects for Parkinson's disease patients, especially those who have gastrointestinal symptoms and limited treatment choices.
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Fecal microbiota transplantation to treat Parkinson's disease with constipation
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Autor/in / Beteiligte Person: | Li, Mengyan ; Xu, Haoming ; Huang, Hongli ; Nie, Yuqiang ; Tang, Wenjuan ; He, Jie ; Luo, Qingling ; Zhou, Yongjian ; Chen, Huiting |
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Zeitschrift: | Medicine, Jg. 98 (2019-06-01), S. e16163 |
Veröffentlichung: | Ovid Technologies (Wolters Kluwer Health), 2019 |
Medientyp: | unknown |
ISSN: | 1536-5964 (print) ; 0025-7974 (print) |
DOI: | 10.1097/md.0000000000016163 |
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