An adult case suggestive of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS) diagnosis (tur)

Abstract

Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS) describe a picture with obsessive-compulsive symptoms and tics in childhood as a result of autoimmune response after group A-beta hemolytic streptococcal infection. PANDAS is a syndrome which progresses with various symptoms in childhood and is difficult to diagnose, and in which a significant regression in neuropsychiatric symptoms is observed with early detection and treatment of infection. In this article, a 21-year-old case with psychiatric symptoms exacerbated by recurrent infections and suggesting the diagnosis of PANDAS is presented. Undiagnosed and untreated PANDAS is at high risk for lifelong development of obsessive compulsive disorder and tic disorder. Patients who are thought to have a diagnosis of PANDAS should be referred to the appropriate center without delay and treatment should be started.

Keywords

• pandas
• tic disorder
• obsessive compulsive disorder
• neuropsychiatric disorders