title: Parkinsonian features after streptococcal pharyngitis.
abstract: Bradykinesia and rigidity developed in a 10-year-old girl during an episode of Sydenham chorea. These parkinsonian features improved over 6 months. Serum analysis demonstrated elevated anti-streptolysin-O and anti-basal ganglia antibodies. We suggest that autoimmune antibodies may cause remitting parkinsonian signs subsequent to streptococcal tonsillitis as part of the spectrum of poststreptococcal CNS disease.
authors.affiliation: Pediatric Department, Hadassah University Hospital, Ein-Kerem, POB 12000, Jerusalem 91120, Israel. shmaryaho@hotmail.com
authors.forename: Hilla
authors.initials: H
authors.lastname: Ben-Pazi
authors.forename: Amir
authors.initials: A
authors.lastname: Livne
authors.forename: Yehuda
authors.initials: Y
authors.lastname: Shapira
authors.forename: Russell C
authors.initials: RC
authors.lastname: Dale
mesh_terms: D000989:Antistreptolysin; D001323:Autoantibodies / Q000097:blood; D001485:Basement Membrane / Q000276:immunology; D002648:Child; D005260:Female; D006801:Humans; D020734:Parkinsonian Disorders / Q000209:etiology*; D010612:Pharyngitis / Q000150:complications* / Q000276:immunology; D013290:Streptococcal Infections / Q000150:complications* / Q000276:immunology
chemical_list: D001323:Autoantibodies; D000989:Antistreptolysin