Hi

just wanted to add that there is a lot of anecdotal evidence suggesting that azithromycin/zithromax may be the antibiotic to be used for PANDAS, as is being documented by parents who have seen dramatic results in reduction of strep antibody titres as well as the symptomatic tics, OCD and general malaise and behavioural problems that seem so characteristic of PANDAS patients

not only does it appear to be best at eradicating the "stealth" strep, but also it seems it has immuno-regulating properties that help in the onslaught that strep wages on the immune system and the resultant "auto-immune" reaction that is believed may be involved in PANDAS

I havent seen any documentation, scientific or anecdotal, on adult onset PANDAS equivalent illness/OCD etc