{"id":10402,"date":"2021-02-15T11:49:37","date_gmt":"2021-02-15T02:49:37","guid":{"rendered":"https:\/\/symdfmtcopro.wpenginepowered.com\/post\/10402"},"modified":"2023-11-29T20:13:02","modified_gmt":"2023-11-29T11:13:02","slug":"autism-spectrum-disorder-9-year-old-boy-intestinal-flora-transplantation-case-report","status":"publish","type":"post","link":"https:\/\/fmt-japan.org\/en\/post\/10402","title":{"rendered":"Autism Spectrum Disorder 9-year-old boy &#8211; Intestinal flora transplantation case report"},"content":{"rendered":"<h2><span class=\"ez-toc-section\" id=\"i\"><\/span>Case presentation 9-year-old boy with autistic spectrum disorder<span class=\"ez-toc-section-end\"><\/span><\/h2>\r\n<h3><span class=\"ez-toc-section\" id=\"i-2\"><\/span>summary<span class=\"ez-toc-section-end\"><\/span><\/h3>\r\n<p>Hyperactive, but quiet with parental attention. He is absorbed in playing games on his cell phone.<br \/>His speech is faltering, but he is producing a few words. He responds to instructions but does not seem to have true understanding. Also, he is not communicating or being mindful.<br \/>At the results presentation 5 months after the third transplant was completed, he was calmer than before. He is able to sit in a chair to some extent.<br \/>He has also been able to understand and utter the language of requests more often. Although he has not been taking oxytocin recently, he is doing well and is able to go back to school without any trouble after the Corona voluntary restraint.<br \/>We explained to him that he should continue to carefully nurture the transplanted fungal solution.<\/p>\r\n<div>\r\n<div><span style=\"font-size: inherit; font-family: 'Noto Serif JP';\"><div class=\"su-table su-table-responsive su-table-fixed\"><\/span><\/div>\r\n<\/div>\r\n<h3><span class=\"ez-toc-section\" id=\"i-3\"><\/span>Basic Information<span class=\"ez-toc-section-end\"><\/span><\/h3>\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td>Patients :<\/td>\r\n<td>9 years old, boy<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Attending physician :<\/td>\r\n<td><a href=\"https:\/\/www.haruna-clinic.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Haruna Clinic<i class=\"icon-new-tab\"><\/i><\/a><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Medical institution in charge of transplantation :<\/td>\r\n<td><a href=\"https:\/\/www.haruna-clinic.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Haruna Clinic<i class=\"icon-new-tab\"><\/i><\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<div class=\"su-table su-table-responsive su-table-fixed\">\r\n<h3><span class=\"ez-toc-section\" id=\"i-4\"><\/span>Information at the time of initial medical examination<span class=\"ez-toc-section-end\"><\/span><\/h3>\r\n<table style=\"width: 49.3525%;height: 175px\">\r\n<tbody>\r\n<tr style=\"height: 25px\">\r\n<td style=\"height: 25px\">Disease name :<\/td>\r\n<td style=\"height: 25px\">ASD<\/td>\r\n<\/tr>\r\n<tr style=\"height: 25px\">\r\n<td style=\"height: 25px\">Time of onset :<\/td>\r\n<td style=\"height: 25px\">Around 1.5 years old<\/td>\r\n<\/tr>\r\n<tr style=\"height: 25px\">\r\n<td style=\"height: 25px\">Transplant Purpose: To<\/td>\r\n<td style=\"height: 25px\">Improved language and communication<\/td>\r\n<\/tr>\r\n<tr style=\"height: 25px\">\r\n<td style=\"height: 25px\">Chief complaint :<\/td>\r\n<td style=\"height: 25px\">At his 1.5 year checkup, he was noted as restless; at 2.5 years old, he was still not talking. After that, I imported oxytocin and took it. After that, his vocabulary increased and he started to understand to some extent. However, he was not able to communicate or understand the mood of the situation. She is not able to communicate or understand the mood of the situation. He parrots back and forth.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 25px\">\r\n<td style=\"height: 25px\">Medications being taken :<\/td>\r\n<td style=\"height: 25px\">oxytocin<\/td>\r\n<\/tr>\r\n<tr style=\"height: 25px\">\r\n<td style=\"height: 25px\">Medical history :<\/td>\r\n<td style=\"height: 25px\">\r\n<p>none in particular<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 25px\">\r\n<td style=\"height: 25px\">Background, family history, lifestyle, supplement use, etc :<\/td>\r\n<td style=\"height: 25px\">\r\n<div>Mother may have previously had amalgam (dental mercury amalgam). There are scars from dental treatment.<\/div>\r\n<div>He also has cavity treatment and dental work.<\/div>\r\n<div>I try to be careful about additives in his diet as much as possible, but he is not particularly gluten casein free. I try to avoid giving him sweets as much as possible, but I do give him candy and rum.<\/div>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<div class=\"su-table su-table-responsive su-table-fixed\">\r\n<h3><span class=\"ez-toc-section\" id=\"i-5\"><\/span>Transplant Information<span class=\"ez-toc-section-end\"><\/span><\/h3>\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td>Transplantation period: from<\/td>\r\n<td>January 11, 2020 &#8211; January 25, 2020<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Number of transplants :<\/td>\r\n<td>3 times<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<div class=\"su-table su-table-responsive su-table-fixed\">\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td>Change from first transplant to end of transplant :<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>3 transplants conducted<\/p>\r\n<p>\u30101st transplantation questionnaire\u3011<\/p>\r\n<p>He was autistic, never panicked, and quiet.<br \/>He responds to instructions but does not seem to understand what they mean, and his speech is almost non-existent.<br \/>Regarding his diet, he is careful to eat as much as possible without additives, but is not gluten casein free or sugar free.<br \/>His mother has a history of amalgam removal and he has dental fillings.<\/p>\r\n<p>\u30102nd transplantation questionnaire\u3011<\/p>\r\n<p>After the first transplant, he had no discharge of fungal fluid and was not in a bad mood.<br \/>He used to parrot and answer, but now he understands the meaning of the words and answers.<br \/>His bowel movements also improved a little.<br \/>Her mother has been proactive in devising her diet.<\/p>\r\n<p>\u30103rd transplantation questionnaire\u3011<\/p>\r\n<p>No change in symptoms.<br \/>All bacterial fluid has been absorbed.<\/p>\r\n<p>\u3010Questionnaire at the examination\u3011<\/p>\r\n<p>Explanation of the results of the post-transplant flora balance test from the end of the third transplant. (Final)<br \/>It has been a while since the third transplant, but he said that he understands things and thinks and acts more.<br \/>Also, after staying at home due to the corona, she changed her school year and was worried about the change in environment, but she was able to adjust to her surroundings and had no particular problems at school.<br \/>He is working with the transplanted flora to repair his body, and we recommended his diet and supplements such as fish oil, CBD choline, B and DK to support this.<\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div><div class=\"su-table su-table-responsive su-table-fixed\">\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td>Changes after completion of transplant :<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>Though there was no significant change immediately after the transplant, at least it hasn&#8217;t gotten worse. The parroting has decreased.<br \/>Maybe even a little more understanding.<br \/>Five months after the final transplant, his comprehension has increased and he is thinking and speaking on his own more often.<br \/>He seems to be able to cooperate with others to some extent.<\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<div class=\"su-table su-table-responsive su-table-fixed\">\r\n<h3><span class=\"ez-toc-section\" id=\"i-6\"><\/span>Evaluation and Discussion<span class=\"ez-toc-section-end\"><\/span><\/h3>\r\n<table style=\"width: 100%;height: 409px\">\r\n<tbody>\r\n<tr style=\"height: 25px\">\r\n<td style=\"height: 25px;width: 16.7763%\">Transplant Evaluation :<\/td>\r\n<td style=\"height: 25px;width: 83.114%\">Mild improvement of symptoms<\/td>\r\n<\/tr>\r\n<tr style=\"height: 48px\">\r\n<td style=\"height: 48px;width: 16.7763%\">Pre- and post-transplant flora balance test changes :<\/td>\r\n<td style=\"height: 48px;width: 83.114%\">\r\n<div>Based on the pre-transplant flora balance, the patient may have lacked mental stability.<\/div>\r\n<div>\r\n<div>After the transplant, diversity is detected without problems compared to before the transplant. The mother&#8217;s efforts in her diet are evident.<br \/>We believe that the balance has been replaced and that the person may be confused about the change because he is trying to heal but lacks one more push.<\/div>\r\n<div>Ideally, we think that additional transplants, etc. over a longer period of time would help settle things down.<\/div>\r\n<\/div>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 25px\">\r\n<td style=\"height: 25px;width: 16.7763%\">Blood test changes :<\/td>\r\n<td style=\"height: 25px;width: 83.114%\">No comment<\/td>\r\n<\/tr>\r\n<tr style=\"height: 48px\">\r\n<td style=\"height: 48px;width: 16.7763%\">POMS2 SCORE CHANGE :<\/td>\r\n<td style=\"height: 48px;width: 83.114%\">No inspection<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<p>&lt; Intestinal flora balance 1st data &gt;<\/p>\r\n<p><img decoding=\"async\" class=\"alignnone wp-image-5856\" src=\"https:\/\/fmt-japan.org\/wp-content\/uploads\/2021\/02\/8c06a03f5119df6751e8e452c2b4c616.jpg\" alt=\"\" width=\"500\" height=\"407\" srcset=\"https:\/\/fmt-japan.org\/wp-content\/uploads\/2021\/02\/8c06a03f5119df6751e8e452c2b4c616.jpg 778w, https:\/\/fmt-japan.org\/wp-content\/uploads\/2021\/02\/8c06a03f5119df6751e8e452c2b4c616-300x244.jpg 300w, https:\/\/fmt-japan.org\/wp-content\/uploads\/2021\/02\/8c06a03f5119df6751e8e452c2b4c616-768x626.jpg 768w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\r\n<p>&lt; Intestinal flora balance 2nd data &gt;<\/p>\r\n<p><img decoding=\"async\" class=\"alignnone wp-image-5857\" src=\"https:\/\/fmt-japan.org\/wp-content\/uploads\/2021\/02\/957bba05f1936713004375f40153a197.jpg\" alt=\"\" width=\"500\" height=\"401\" srcset=\"https:\/\/fmt-japan.org\/wp-content\/uploads\/2021\/02\/957bba05f1936713004375f40153a197.jpg 805w, https:\/\/fmt-japan.org\/wp-content\/uploads\/2021\/02\/957bba05f1936713004375f40153a197-300x241.jpg 300w, https:\/\/fmt-japan.org\/wp-content\/uploads\/2021\/02\/957bba05f1936713004375f40153a197-768x616.jpg 768w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\r\n<div class=\"su-table su-table-responsive su-table-fixed\">\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td>His\/her experience (from the questionnaire) :<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>No survey response<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<div class=\"su-table su-table-responsive su-table-fixed\">\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td>Adverse events: No<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Nothing<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<div class=\"su-table su-table-responsive su-table-fixed\">\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td>Transplant General Comments and Discussion :<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>Although there seems to have been some improvement in understanding and bowel movements, it is important to grow the transplanted bacteria in the future because of the short period of time.<\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<p>&#8230; and upwards<\/p>\r\n<hr>\r\n<p><a href=\"https:\/\/fmt-japan.org\/category\/fmt_cases\">Return to Top of Case Studies<i class=\"icon-new-tab\"><\/i><\/a><\/p>\r\n\r\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"i-7\"><\/span>Related Videos<span class=\"ez-toc-section-end\"><\/span><\/h2>\r\n\r\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\r\n<iframe title=\"\u3010\u81e8\u5e8a\u533b\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3011\u8178\u5185\u74b0\u5883\u3068\u8178\u5185\u30d5\u30ed\u30fc\u30e9\u79fb\u690d\u3008\u6625\u540d\u4ee4\u5b50\u5148\u751f\u3009\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/DTwsWUCZ_bE?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\r\n<\/div><\/figure>\r\n","protected":false},"excerpt":{"rendered":"Case presentation 9-year-old boy with autistic spectrum disorder summary Hyperactive, but quiet with parental attention. He is absorbed in playing games on his cell phone.His speech is faltering, but he is producing a few words. He responds to instructions but does not seem to have true understanding. Also, he is not communicating or being mindful.At [&hellip;]","protected":false},"author":1,"featured_media":11042,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[109],"tags":[141,123],"class_list":["post-10402","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fmt_cases","tag-asd","tag-medical-corporation-haruna-clinic"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Autism Spectrum Disorder 9-year-old boy - Intestinal flora transplantation case report - \u8178\u5185\u30d5\u30ed\u30fc\u30e9\u79fb\u690d\u81e8\u5e8a\u7814\u7a76\u4f1a<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Autism Spectrum Disorder 9-year-old boy - Intestinal flora transplantation case report - \u8178\u5185\u30d5\u30ed\u30fc\u30e9\u79fb\u690d\u81e8\u5e8a\u7814\u7a76\u4f1a\" \/>\n<meta property=\"og:description\" content=\"Case presentation 9-year-old boy with autistic spectrum disorder summary Hyperactive, but quiet with parental attention. 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He is absorbed in playing games on his cell phone.His speech is faltering, but he is producing a few words. He responds to instructions but does not seem to have true understanding. 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