Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) in a two-year-old.

Hal Steven Farkas, Ellen Werber Leschek
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Abstract

Streptococcal pharyngitis testing and treatment is not routinely recommended in children under the age of 3 because of the unlikely occurrence of infection and negligible risk of serious complications. However, streptococcal pharyngitis and its resulting complications are not uncommon in this age group and can have serious consequences. We report a case of Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections in a 2-year-old with streptococcal pharyngitis. Testing and treatment for streptococcal pharyngitis should be strongly considered when there is evidence of infection and/or an immune-mediated streptococcal complication to prevent and/or decrease the severity of short- and long-term complications.

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一名两岁儿童患链球菌感染相关的小儿自身免疫性神经精神障碍(PANDAS)。
由于 3 岁以下儿童感染链球菌咽炎的几率很小,出现严重并发症的风险也微乎其微,因此不建议对他们进行常规检查和治疗。然而,链球菌性咽炎及其引起的并发症在这个年龄段的儿童中并不少见,并可能造成严重后果。我们报告了一例患有链球菌咽炎的 2 岁儿童自身免疫性神经精神障碍与链球菌感染相关的病例。当有证据表明存在感染和/或免疫介导的链球菌并发症时,应积极考虑对链球菌咽炎进行检测和治疗,以预防和/或降低短期和长期并发症的严重程度。
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