Nath K, Panja S. An Adolescent with Incapacitating Tics. Ind J Priv Psychiatry 2023;17(1):47–48. Article link.
Case description: This case is about a male of age 15 years with a history of fever 3 years back, after which symptoms such as abnormal sounds and body movements gradually started, which were involuntary. After many trials with different antipsychotics, the patient started responding
but symptoms persist along with anxiety and irritability at times.
Conclusion: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections occur in about 1 in 1,000 children, which is a rare disorder and is difficult to diagnose. The treatment is challenging as a suitable antipsychotic has to be picked in terms of efficacy and dosing.