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Update: Went to our pediatrician (but saw his associate who was much more understanding). She wanted to do a throat culture and strep titer test and was totally understanding of our concerns about PANDAS. Today we found out both tests were negative for strep. And, my son's tic has gone away. (I am sure it helps that it is summer vacation and he is not under stress.) So, I am concluding that his "mystery virus" last week just brought on a tic episode. Would this be called "transient tic disorder"? Does anyone have this experience? Thanks for all of your replies and advice.

hello, I found this article (http://www.neurologyreviews.com/apr02/pandas.html) while researching PANDAS on the internet. My son is 7 and has had strep, frequent urination, tics, and ADHD. I am concerned that he has PANDAS and plan to pursue this with our pediatrician this week. Thought you might find it interesting.

Thanks to everyone who understands my worries. So, my son's fever is gone and he seems to be feeling fine. But the tic has returned! It is not happening too frequently, just occasionaly throughout the day. Do I go back to my pediatrician for a throat culture (not rapid, since that test was negative) or just wait for it to go away? My pediatrician isn't the most sympathetic and doesn't spend much time with each patient, and I wish I could find a more understanding and knowlegeable one, but that's a different topic. Any advice would be appreciated. Thanks.

Hi, My son is 7 and diagnosed with ADHD one year ago. He has taken Concerta for one year. On April 1st 2008 he suddenly developed a tic (head jerking back). Took him off Concerta and it gradually waned. Put him back on Concerta because it really helps him at school and in social situations. The tic did not return. Then around May 1st he developed a frequent urination problem. After several weeks, several doctor visits, and one negative rapid strep test, the doctor put him on amoxicillin and it gradually went away. He also started sniffing frequently, which I now realize might be a tic. On May 31st he came down with classic strep throat and took Penicillin VK. This week on June 23 he developed a high fever and stuffy nose, but the rapid strep test was negative. Now today (June 25) he still has fever and his tic has returned! I am so worried......could it be that the rapid strep test was a false negative? (His throat is not sore and he is eating normally.) The pediatrician mentioned PANDAS in passing on June 23 but she said it was not likely he had PANDAS because the strep test was negative. It is very strange to me that the tic returned when he was ill. Also, since he has been ill, he has watched much more TV and played Gameboy much more. Should I pursue more aggressive testing with my pediatrician, and if so, what tests should I ask for? Thank you so much for any advice you can give.