My son only came down with PANDAS in March of this year. He had the "breakdown" and then got sick. Took him to the doctor, he had strep, got him on a 10 day course of abx. During those 10 days not only did the strep go away but so did most of his behaviors. Took him to see his normal pediatrician just a few days after stopping the abx, for his annual check up, and told her about it, and she said PANDAS. He went on another round of antibiotics which further cleared up his issues. Between then and June, his behavior started going down hill again. Took him in, sure enough, he had strep again. This time, I asked her to please consider a longer dose of abx but she would only do 14 days of clindimycin. Clindimycin worked amazingly and cleaned up so much better than the first abx, which I can't remember right now what it was. And it turns out it came with 17 days worth of doses . . oopsy on someones part but heaven for my son. Sure enough though, we're a week and a half out from stopping, and it's all coming back.
His pediatrician, who initially said PANDAS, refuses to work with us unless he has a positive throat culture. I took him back in 2 days after finishing this abx because he was starting to get bad again and the throat swab was negative so she said its not PANDAS, that PANDAS is a one time infection, and that we need to treat him for Tourrettes/OCD.
Not knowing what to do, I posted on an online forum and someone recommended to me to try and get into the IVIG study at Yale. We did the first screening, which he passed, and have the 2nd screening on Tuesday. He meets all of their published guidelines so I am sure he is going to get in - but . . do we really want IVIG at this point? From reading I see it is the treatment of last resort for a lot of kids. My son does GREAT on antibiotics, it's just that his pediatrician won't give him any.
What do you all suggest? Is it possible that if we go the IVIG route we could be fast-forwarding his PANDAS when all he really needed was the abx??