Conversation: The conversation between human and AI assistant.
[|Human|] My son had the pneumococcal IM (14 Serotype) Serology test. He didn t have the streptococcal pneumonia vaccination as a baby and is now 15. He was positive for ALL serologies. He was treated with Biaxin 500 mg daily for 20 days and two rounds of Suprax 400 mg daily for 20 days (two rounds). All serologies have dropped below positive except for pneumo Ab type 19 (19F) and Pneumo Ab Type 57 (19A). Those two have actually gone up.. Anytime he shows an increase in Igm number he triggers with psychotic symptoms. His immune system is somehow compromised. He has been diagnosed with PANDAS and PANS. His thyroid antibodies were 232 and 110 and have come down to 110 and 51 after the antibiotics. Can you help?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done pneumococcal vaccination. In newer pneumococcal vaccines, they provide benefit against 23 stereotypes. And it is very effective in preventive pneumococcal pneumonia. It should be given every 5 yearly. So your son will be protected for 5 years after vaccination. And it can be given in patients of PANDAS and PAN. So consult pulmonologist and discuss all these.