PANDAS

• Pediatric autoimmune neuropsychiatric disorder associated with Streptococcus

Diagnostic Criteria

• Obsessive-compulsive disorder (OCD) or tic disorder (Tourette, chronic motor or vocal tic disorder)
• Pediatric onset (between three years and onset of puberty)
• Abrupt onset and episodic course of symptoms
• Temporal relation between GAS infection and onset and/or exacerbation
• Neurologic abnormalities, including motor hyperactivity (eg, fidgeting, difficulty remaining seated) and choreiform movements