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When one PANDAS child has strep, do you treat the other PANDAS child?


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So, my 2yo had sudden onset severe OCD with ragey tantrums on Sunday night (middle of the night at disney world - does it get any better than that????). My 5yo pandas son is on 500mg azith weekly but has some fears, baby talk, repetitive questions, mild cough tic. Is this enough for you to increase his abx as well? Should I do a week or so of augmentin for him? Should I even bother getting a culture?

 

What do you do with your multiple pandas kids????!!! Need some opinions!

 

Only reason I even question it is b/c my kids get the gut bugs (bacteria,yeast) from high dose abx, which have their own set of behavioral consequences...you trade one problem for another in our house!

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