4th Pediatric Infectious Diseases Conference
 
 
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Neurological problems
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Specialist Answers
Question
A 5 yrs old child was brought to the hospital with left sided facial tics, no vocal tics for 3-4 days.There was history of repeated sore throats and nasal blockage. ASO titers were >700. EEG;normal study, C.T head: basal ganglia,small calcifications. Patient improved with a 10 days course of antibiotics only. Can this patient be labeled as PANDAS(pediatric autoimmune neuropsychiatric disorder associated with streptococal infection?)
Answer
Clinical criteria proposed for the diagnosis of PANDAS include: the presence of OCD or a tic disorder; childhood onset; an abrupt onset of symptoms; exacerbations of symptoms temporally related to a preceding streptococcal infection; and the association of neurological abnormalities. The child does fit into PANDAS.
 
 
 
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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
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