ASO-Titer Table
The NIMH website and many doctors believe titers should be elevated to indicate an active strep infection. This table indicates that often they are not elevated or only slightly elevated. This table reiterates that the best indicator is a positive strep test or a fever/sore throat event occurring 4 to 6 mos. prior to the PANDAS Acute Onset.
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TITER TABLE – 2007-2009
PANDAS CASES |
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5/22/09 |
| CASE |
|
INFECTION START DATE |
ACUTE
ONSET |
STREP TEST |
ASO-TITERS |
D-NASE |
| #1 |
Boy 7 |
4/07 Strep w/delay of PANDAS onset
8/07 & Sinusitis |
8/07 |
Positive 4/07
w/onset 8/07 giving a neg.
strep test |
500 |
340 (1 yr post onset result only –
due to lab error) |
| #2 |
Girl 7 |
1/08 Fever/Sore Throat |
2/08 |
3/08 Positive |
28 |
60 |
|
Boy 8 |
2/07 Fever/Sore Throat |
2/07 |
None |
Normal |
Normal |
| #3 |
Girl 7 |
10/07 Fever/Sore Throat |
10/08 |
Negative |
Normal |
Normal |
|
Boy 11 |
3/07 Acute Rheumatic Fever
Repairing on abx
8/08 PANDAS |
7/07 & 9/07
4/08
8/08 |
None
None
None |
1,000
Normal
200 |
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Girl 7 |
11/07 Fever/Sore Throat |
12/07 |
Negative |
220 |
Not Given |
|
Boy 6 |
6/05 Sore Throat
9/05 Strep Exposure
2/07 Sinusitis |
6/05
9/05
2/07 |
Positive
None
None |
None
Extremely High
Abx no longer work |
None |
| #4 |
Boy 8 |
9/23/06 |
9/24/06 |
Positive |
540 |
1,300 |
|
Boy 7 |
2/08 |
2/08 |
Positive |
400 |
Negative |
|
Boys 2, 5, 7 &
Girl 8 |
4 children all have PANDAS
w/Repeated Strep Infections Yearly |
Immediately |
Sometimes Positive
Sometimes Negative |
Normal |
Normal |
| #6 |
|
6/07 exposed to Scarlet Fever (family) |
8/07 |
None |
Normal |
Normal |
| S |
Boy 9 |
12/07 and 3/08 strep |
3/08 |
Positive |
100’s |
100’s |
| S-1 |
Boy 6 |
6/07 |
6/07 |
Positive |
Normal |
Normal |
| S-2 |
Boy 9?? |
1/08 |
1/08 |
Negative |
Normal |
Normal |
| #5 |
Girl 9 |
1/08 Fever/Sore Throat |
1/08 |
Negative |
Normal |
Normal |
| #7 |
Girl 7 |
6/06
10/08 |
6/06
10/08 |
Positive
None |
800-1,000
500 |
None
None |
| #10; |
Boy 11 |
6/08 |
6/08 |
None |
202 |
680 |
|
Girl 6 |
6/08
9/08 |
6/08
9/08 |
Positive
Negative |
None
None |
None
None |
| #8 |
Boy 6 |
3/08
8/08 |
3/08
8/08 |
Positive
Positive |
Normal
Normal |
Normal
Normal |
|
Girl 9 |
11/07 (acute catatonic state abated
w/abx) |
11/07 |
Negative |
Normal |
Normal |
|
Boy 7 |
11/08 |
11/08 |
Positive |
Normal |
Normal |
|
Boy 9 |
9/08 |
9/08 |
Positive |
62 (drawn only @ 6/08, 6 mos.
Post onset) |
None |
|
Girl 4 |
8/08—repeat strep infections for
6 mos. |
Positive |
5 |
Normal |
Normal |
|
Boy 7 |
11/08 |
11/08 |
Positive |
1,750 |
1,320 |
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