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Last week, school administrators at the LeRoy Central School District in northwestern New York state approved a plan that will allow further testing at the town’s high school, where a total of 19 people, 18 girls and one boy, developed a sudden-onset disorder with symptoms similar to Tourette’s syndrome.
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Regarding the outbreak of sudden-onset of symptoms similar to Tourette’s syndrome in a high school in New York, I believe it could well be a form of Sydenham Chorea involving the basal ganglia of the brain but not necessarily associated with Group A Streptococcal infection or Acute Rheumatic Fever. A virus could well be the cause if it could mimic the Group A Streptococcus by producing antineuronal antibodies.
Boghos L. Artinian MD
artinian@inco.com.lb
Thanks for the update, it was an interesting case, that probably needed an adept differential diagnosis to confirm.