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Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infection: Overview and Nursing Implications

University of Virginia School of Nursing in Charlottesville

Kelley Midkiff, RN, FNP, CS

University of Virginia School of Nursing

Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection are a new diagnostic classification that is applied to children or adolescents in whom tic disorders or obsessive-compulsive disorder develop and are repeatedly exacerbated after group A ß-hemolytic streptococcal infections. Research indicates that this classification may be an autoimmune disorder that affects the basal ganglia in much the same manner as Sydenham’s chorea. In this review of the literature, a description of this "new" construct is presented, with the hypothesized etiology, diagnostic criteria, treatment, and nursing considerations for this pediatric phenomenon outlined.

Journal of the American Psychiatric Nurses Association, Vol. 7, No. 2, 35-38 (2001)
DOI: 10.1067/mpn.2001.114967


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