“Intestinal helminthiasis” in a patient with Morbus Parkinson

Overview

Parkinson disease is a long-term degenerative, incurable and invaliding disorder of the central nervous system showing the deficient production of neurotransmitter dopamine in the brain. In the Czech Republic the disease affects several ten thousands of people, especially those aged fifty or more. The patients suffer from various symptoms, both motor and non-motor. It is important to supply the patients in a developed stage of the disease with the right doses of dopamine in tablets or, exceptionally, a different treatment. Where no treatment is given or a treatment is suddenly disrupted, a death may occur.

The following well-ending case history describes a rare case considered by the hospital for long term sickness personnel to be intestinal helminthiases accompanied by a serious worsening of the health condition in a lucid female patient with Parkinson disease. The case had a surprising outcome. The case history also shows that it is necessary to be knowledgeable in the constructions and functions of the medicala dvices although one meets such medical advices outside clinics only a few times in his/her life and that such constructions and functions seem to be totally trouble-free and fully automated.

Keywords:

Parkinson disease – PEG-jejunostomy – intestinal helminthiases