history of my daughter and then some questions:
5 years old. she is asymptomatic of typical strep signs. never has fever or sore throught. only way we suspected it her cheeks get rosey,her vaginal area gets red,and she gets somewhat emotional when she doesnt get her way with tantrums that last sometimes 45 minutes.sometimes her swabs were positive and sometimes negative. if positive treated for 10 days. This has been the case since she was 2 1/2. Last year she had her tonsils and adnoids removed due to far to many strep infections. In the recent weeks there has been a few strep cases at her daycare so my wife insisted on getting the Anti-Streptolysin O test.normal range is 0-125. my daughter was 255. they suspect PANDAS because of the behavior and this test and want us to see a Pediatric Neurologist to get checked out.
1. Does this sound consistant with Pandas?,or maybe. my daughter is very strong willed like my wife,and when she does not get her way she acts out big time, but if we gave in to her,i dont think we would see those tantrums because in times we have said ok to her once the tantrum starts, she immediatly stops crying and carrying on.
2. Secondly, how do we know when she gets a strep infection to treat it, if she asymptomatic?
3. I am confused by the range her score was in? if normal is between 0-125, if she was within this range does that mean she has not had a recent strep infection? or if its over that score that determines the recent infection?
4. I am also confused with the antibiotic use if it is PANDAS?, how can someone stay on antibiotics for several years until they reach puberty? I thought doctors dont want to prescribe too many because of tolerance to the body and them stop working. ?Also what about C-DIFF infections? over use of antibiotics i thought caused this? I had it a few years ago in the hospital from antibiotics for several weeks.
5. Can PANDAS cause heart trouble? and is that just if not treated with antibiotics? I am concerned with this issue because my youngest daughter who is 4, is also asymptomatic with strep, has Mosaic Turners Syndrome and her only issue with that at this time is a bicuspid aortic valve. She is in great health and is monitored every other year by a pediatric cardiologist with no restrictions. she has not been tested with the Anti-Streptolysin O but we are thinking of getting her tested now. she is predisposed to NLD, NON VERBAL LEARNING DISABILITY,
thanks for any info you can provide to me.