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Research ArticleOriginal Article
Open Access

The evaluation of relationship between group A streptococcal infection with tic disorders in children

Soroor Arman, Javad Golmirzaei, Alireza E. Naeini and Mohammad M. Azhar
Saudi Medical Journal September 2009, 30 (9) 1180-1185;
Soroor Arman
Department of Child and Adolescent Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
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Javad Golmirzaei
Department of Child and Adolescent Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
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Alireza E. Naeini
Department of Child and Adolescent Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
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Mohammad M. Azhar
Department of Child and Adolescent Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
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Abstract

OBJECTIVE: To evaluate the relationship between group A beta hemolytic streptococcus infection (GABHS) and tic disorders in children.

METHODS: This is a case-control study that was conducted in Child and Adolescent Psychiatric Clinic, Isfahan, Iran, between May 2008 and February 2009. Thirty-six children (aged 5-15) with tic and 36 children without tic and obsessive-compulsive disorder (OCD) were investigated for clinical and laboratory signs of GABHS. The tools utilized in this research were clinical interview according to the DSM IV-TR and laboratory tests (throat culture, rapid antigen detection test [RADT], anti streptolysin O [ASO] and yale global tics severity scale [YGTSS]). The control group was of the same gender and age as the tic group who had come to the clinic for other illnesses and was in need of blood test. None of the subjects in the case and control groups had a clinical history of GABHS infection.

RESULTS: The relationship between tic disorder and GABHS infection (if any of these laboratory tests takes place: throat culture, RADT, ASO >/=250) in the tic group was 16 (44.4%) and in the control group was 9 (25%), there were significant differences (p<0.05). No significant correlation was found between ASO titer and YGTSS scores. The specificity of RADT was 100%.

CONCLUSION: The result showed correlation between GABHS infection and tic disorder, but it does not mean that GABHS infection caused tic disorder.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 30 (9)
Saudi Medical Journal
Vol. 30, Issue 9
1 Sep 2009
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The evaluation of relationship between group A streptococcal infection with tic disorders in children
Soroor Arman, Javad Golmirzaei, Alireza E. Naeini, Mohammad M. Azhar
Saudi Medical Journal Sep 2009, 30 (9) 1180-1185;

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The evaluation of relationship between group A streptococcal infection with tic disorders in children
Soroor Arman, Javad Golmirzaei, Alireza E. Naeini, Mohammad M. Azhar
Saudi Medical Journal Sep 2009, 30 (9) 1180-1185;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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