Augmentin for Pitand

[taytay]

12 year old daughter is on second abx after being dx about 6 weeks ago with PITAND, the dr. saying she is PANDAS prone. She is presently on day 20 of CIPRO. She has improved but not remarkably. Much of her OCD is mental but besides having a softer expression and her eyes looking brighter her OCD has not improved that much yet. Is Augmentin ever used for treating PITAND? It's hard for me to know if the abx is working and she just needs more time or if she should switch abx.

[MomWithOCDSon]

Have you had any professional opinions or ideas about what microbe or pathogen she may be reacting to in her PITANDS? That usually sets the stage for which class of abx is appropriate to the task.

 

My DS has been taking Augmentin from the start, frankly, based largely on the successful intervention granted by virtue of it to Sammy Maloney of "Saving Sammy" fame. Augmentin is in the beta-lactam abx class, which work by inhibiting the bacteria's cell wall synthesis. Augmentin is considered a broad spectrum beta-lactam abx and shares the class with a whole host of penicillin-derived meds. Penicillins are noted as appropriate for strep and lymes.

 

Cipro, meanwhile, is a quinolone, which works by inhibiting the bacteria's DNA and thus stops replication. Cipro is commonly used for mycoplasmal infections, so is your child, perhaps, diagnosed with something like myco pneumonea?