Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS)

Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is a condition that may be related to a recent streptococcal (strep) infection. Your child may be diagnosed with PANDAS if he or she has symptoms of obsessive compulsive disorder (OCD) or a tic disorder that start suddenly or get worse after a strep infection.

The connection between strep infection and the sudden onset or change in symptoms of OCD or tic disorders is not fully understood.

Symptoms usually decrease over time. In some cases, symptoms may resolve completely or return to the level they were before the infection.

Treatments for children with PANDAS are the same as used for symptoms of OCD or tic disorders. This includes cognitive-behavioral therapy or medicines or a combination of both. Treatment may also include immunotherapy like IVIG or plasma exchange. But this type of treatment is still experimental. You and your doctor can decide which treatments are best for your child.