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A new twist on the story in LeRoy.
In Le Roy, enter PANDAS
A New Jersey neurologist who has examined a number of the students from Le Roy who?ve come down with unusual neurological symptoms said last night he found evidence they could be suffering from Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections, known by the welcome acronym PANDAS.
Dr. Rosario Trifiletti said he found evidence of infection by one or both of two bacteria in eight of the afflicted students from the Genesee County school district. You can read his full news release here.
PANDAS is a disorder in which young people can react to infection by streptococcus bacteria or other pathogens by displaying symptoms such as tics or obsessive compulsive behavior. Some physicians, like Dr. Trifiletti, say it?s more common than one might think. I gather not everyone in the medical community agrees.
Dr. Trifiletti couches his diagnosis carefully in his news release. ?All we have done here is provided evidence for exposure to two infectious agents as potential factors,? the release quotes him as saying. ?I encourage efforts to further explore genetic and other environmental factors that likely are playing an additional role here.?
He states he?s started these students on courses of antibiotics and anti-inflammatories in hopes that, if his diagnosis is correct, their twitching, gesturing and involuntary exclaiming will slow or stop.
Not unexpectedly, this now provides a second ?working diagnosis? of these odd symptoms. Other neurologists have said they believe the students suffer from conversion disorder, in which psychological factors cause them to display physical symptoms that they cannot control. Disbelief in this diagnosis is what led some of the Le Roy families to Dr. Trifiletti.
Sniping in print and on the air is continuing between Dr. Trifiletti and Dr. Laszlo Mechtler, a Buffalo neurologist who treated a number of the students and has publicly defended the conversion disorder diagnosis.
Re: A new twist on the story in LeRoy.