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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.
TITER TABLE – 2007-2009
PANDAS CASES
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 4/07w/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 FeverRepairing on abx8/08 PANDAS 7/07 & 9/074/088/08 NoneNoneNone 1,000Normal200
Girl 7 11/07 Fever/Sore Throat 12/07 Negative 220 Not Given
Boy 6 6/05 Sore Throat9/05 Strep Exposure2/07 Sinusitis 6/059/052/07 PositiveNoneNone NoneExtremely HighAbx 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 6/0610/08 6/0610/08 PositiveNone 800-1,000500 NoneNone
#10; Boy 11 6/08 6/08 None 202 680
Girl 6 6/089/08 6/089/08 PositiveNegative NoneNone NoneNone
#8 Boy 6 3/088/08 3/088/08 PositivePositive NormalNormal NormalNormal
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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