Strep bloodwork Question

[ajcire]

I just had my ds's bloodwork done today... this is by far not the worst he has been in symptoms but just took me a month to get the dr. appt where it was prescribed to have the bloodwork done. Does it matter? Meaning, if this is pandas will the bloodwork still show high levels of strep if he is having only mild symptoms (still refusing to sleep alone, throat clearing)

 

His last positive throat culture for strep was in june... but the sleep issues started the very beginning of sept.... 2 days after his sister tested positive for strep.