Can a bacteria require psychotherapy?
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Copyright (c) 2025 Revista de Psiquiatría Infanto-Juvenil
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DOI:
https://doi.org/10.31766/revpsij.v42n3a3Keywords:
tics, autoimmune diseases, obsessive-compulsive disorder, streptococcal infections, paediatricsAbstract
Introduction: Neuropsychiatric symptoms in childhood pose a significant clinical challenge due to their emotional impact on families and the complexity of their diagnosis. Tics are particularly challenging because of their frequency and the wide range of potential underlying causes that must be considered. Among these, Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) remain a controversial entity, with diagnostic criteria still under review and no definitive consensus. Case report: This article presents the case of a child who experiences a sudden worsening of tic and associated neuropsychiatric symptoms, along with the most relevant clinical data supporting the diagnosis. Discussion and conclusion: This clinical case provides further evidence as to the potential existence of PANDAS as a differential diagnosis, highlighting the need for continued investigation into its mechanisms, validity and management in clinical practice.
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