Waking Up to a Child With Abrupt Personality Changes


      • PANDAS can occur during or after a streptococcal infection.
      • PANDAS presents with sudden onset of personality changes.
      • Workup may be necessary to rule out other organic or mental health diagnoses.
      • Recognition is key to enable positive patient outcomes.
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      Both authors are affiliated with Saint Louis University School of Nursing in Saint Louis, MO. Michelle M. Papachrisanthou, DNP, RN, CPNP-PC, is an assistant professor and certified pediatric nurse practitioner with Right From the Start Pediatrics in Shiloh, IL. She can be reached at [email protected].


      Renée L. Davis, DNP, RN, CPNP-PC, is an assistant professor and a certified pediatric nurse practitioner with Dr. David Norman's Pediatrics in Belleville, IL.