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Previously diagnosed with PANS 11/14 and then Lyme 11/15 My 22 year old austism spectrum daughter had her wisdom teeth removed 11/22/16 and did remarkably well. Took care of herself and kept up with her medications. Then the OCD got worse during recovery then on day 8 pre- menstral cycle started acting scattered. Then Dec 1 as she was a work would not come out of the bathroom stall and a female employee had to get her out. We are in the psychotic phase of PANS or flare of lyme. Our immunologist that we go to for PANS said come in for a rocephin shot and our Lyme doctor said it can be a secondary infection from the wisdom teeth or her period or all of the above. Has anyone experienced a flare from PANS or Lyme after a surgical procedure or a monthly cycle and what did you do? Has anyone had a Rocephin shot and how did it work?