An adult case suggestive of pediatric autoimmune neuropsychiatric disor- ders associated with streptococcal infection (PANDAS) diagnosis

Pediatric autoimmune neuropsychiatric disorders associ-ated 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 infec-tion. In this article, a 21-year-old case with OCD findings and tics exacerbated by recurrent infections, suggesting the diagnosis of PANDAS is presented. Undiagnosed and untreated PANDAS has a high risk of becoming chronic and transforming into lifelong obsessive compulsive di-sorder and tic disorder. Patients who are thought to have a diagnosis of PANDAS should be referred to the appro-priate center without delay and treatment should be started.