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:: Volume 5, Issue 1 (3-2019) ::
CJP 2019, 5(1): 325-328 Back to browse issues page
Pediatric acute-onset neuropsychiatric syndrome in a 6.5-year-old boy: A case report
Mohsen Mohammadi , Ehsan Abiri * , Mahmoud Khodabandeh , Arman Masoudi
Non-communicable pediatric diseases research center, Babol university of medical sciences, Babol, IR Iran , Dr.abiry@yahoo.com
Abstract:   (485 Views)
Background: “Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections”, or PANDAS, is a syndrome characterized by acute-onset obsessive-compulsive disorder (OCD) and/or tics accompanied by the neuropsychiatric symptoms. This case is reported because of its rarity.
Case report: A 6.5-year-old boy with swollen tonsils, high-grade fever and rash was admitted to Amirkola Children’s Hospital, Northern Iran. Thereafter he got involved with tachycardia, hypotension, suppurative conjunctivitis and swelling of extensor surfaces of extremities. In addition, after the onset of fever, he had some neuropsychiatric problems such as social isolation, irritability, aggression, oppositional behavior, behavioral regress, unusual sound production, repeated vilifications, loss of appetite and handwriting deterioration. He was treated with intravenous immunoglobulin (IVIG). The patient was discharged from the hospital in a good condition.
Conclusions: The medical treatment of underlying disease leads to remarkable patient's neuropsychological and OCD symptoms. PANDAS should be diagnosed in the streptococcal infections associated with abrupt behavioral symptoms and treated with IVIG and antibiotics.
Keywords: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, Pediatric, Autoimmune diseases, IVIG
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Type of Study: case report | Subject: General
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Mohammadi M, Abiri E, Khodabandeh M, Masoudi A. Pediatric acute-onset neuropsychiatric syndrome in a 6.5-year-old boy: A case report. CJP. 2019; 5 (1) :325-328
URL: http://caspianjp.ir/article-1-88-en.html


Volume 5, Issue 1 (3-2019) Back to browse issues page
مجله کودکان کاسپین Caspian Journal of Pediatrics
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