PANS- is an acronym for Pediatric Acute-onset Neuropsychiatric Syndrome, which is associated with a variety of different infections. PANS can be triggered by numerous infections, including Borrelia burgdorferi (Lyme disease), mycoplasma pneumonia, herpes simplex, common cold, influenza and other viruses. Parents often describe children with PANS as overcome by a ‘ferocious’ onset of obsessive thoughts, compulsive rituals and overwhelming fears. Clinicians should consider PANS when children or adolescents present with such acute-onset of OCD or eating restrictions. The NIH has reported extensively on PANS: https://www.nimh.nih.gov/news/science-news/2012/possible-causes-of-sudden-onset-ocd-in-kids-broadened.shtml

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