My 8 year old son developed PANDAS during the summer of 2010. He was given a penicillin shot by his pediatrician and has been taking oral penicillin from an infectious disease specialist in New Orleans for four months. A heart murmur was also discovered and we were told that it is typical of PANDAS patients. My son's tics seem better, but his voice has been raspy for two weeks now. Two days ago he became ill with 102 degree fever and a severe sore throat, which could be the cause. I would also like to add that until he started his antibiotic, his voice would fade to very quiet while reading. Within a couple of weeks of being on the penicillin, his volume control improved.