Report PANS/Lyme or both? in PANS / PANDAS (Lyme included) Posted March 17, 2016 My son has PANS/lyme. How long did you treat the lyme disease? It sounds like it was not eradicated. I think you need to see an LLMD and test for coinfections and resume lyme treatment if you are no longer treating for lyme. Lyme treatment has significantly helped my son but its a long road of treatment. 30 days of abx for lyme is not going to cut it.