Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections
Management begins with antibiotic treatment of streptococcal infection and removal of opportunities for reinfection (eg, removing nonsterile toothbrush, treating family members). Management of neurological findings may include induction of medication regime and behavioral therapies. Intravenous immunoglobulin therapy and plasma exchange are reserved for severe cases and only while balancing benefits and risks (side effects or infection). The value of tonsillectomy to treat frequent tonsillitis in a child with PANDAS lacks consensus.
B94.8 – Sequelae of other specified infectious and parasitic diseases
446682003 – Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection