Quick question about titers

[monarchcat]

My son was positive on a rapid strep test in april and given amoxicillan. After discussing PANDAS with his doctor, he agreed to re-culture him and check his ASO titers about 4 weeks after finishing the amox. His culture was negative and his ASO titers were less than 20. He didn't check any other titers (unfortunately).

 

My question is this. Is such a low titer normal following a strep infection? I thought they were SUPPOSED to be high in any child 4 weeks post strep. Is this an indication to me that he could have PANDAS but we won't see high titers? I know realistically the other titers should be checked too, and hopefully will be at some point (we are in the process of switching drs), but I'm just curious about the low ASO titers, which I would have expected to be high regardless of whether he has PANDAS or not. Am I wrong in that assumption?

 

Thanks!

[EAMom]

Read Buster's Aug 24 and Jan 11 posts http://www.latitudes.org/forums/index.php?...art=#entry29305 He gives extremely well-researched information on ASO/anti-dnase b .

 

Lots of kids with strep do not get a rise in ASO and/or anti-dnase b . Our PANDAS dd also had low strep titers despite positive cultures and severe PANDAS symptoms.

 

More on Dr. Cunningham:

http://www.latitudes.org/forums/index.php?showtopic=4785

[monarchcat]

Read Buster's Aug 24 and Jan 11 posts http://www.latitudes.org/forums/index.php?...art=#entry29305 He gives extremely well-researched information on ASO/anti-dnase b .

 

Lots of kids with strep do not get a rise in ASO and/or anti-dnase b . Our PANDAS dd also had low strep titers despite positive cultures and severe PANDAS symptoms.

 

More on Dr. Cunningham:

http://www.latitudes.org/forums/index.php?showtopic=4785

 

Thanks! I realize I think you (or someone else) gave me this link before and I haven't read it yet... sorry! I am just still trying to get a grip and understand all this and it's a tad... overwhelming!