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**Unexplained post-acute infection syndromes

post-acute-infection-syndrome

Summary:

The research focuses on Post-Infectious Fatigue Syndromes (PAISs), particularly Post-Acute Sequelae of SARS-CoV-2 infection (PASC), highlighting the overlap with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) diagnostic criteria. It addresses the need for better understanding and diagnostic care for patients experiencing long-term effects of infectious diseases, emphasizing the importance of refining diagnostic criteria and estimating the societal burden of these disorders. The study calls for unified nomenclature and improved conceptualization of post-acute infection symptoms to guide health-policy decisions.

The research aims to shed light on the prevalence, prognosis, and core symptoms of PAISs, emphasizing the need for basic biomedical research into the underlying mechanisms of these chronic illnesses. By exploring common denominators across PAISs and seeking a unifying pathophysiology for post-infectious chronic disability, the study aims to contribute to the broader field of unexplained infection-associated chronic disability. The unprecedented attention and resources allocated to studying COVID-19-related pathology offer a promising opportunity for progress in biomedical research into PAISs, potentially leading to advancements in the understanding and management of these complex conditions.

Main Points:

  • Post-Infectious Fatigue Syndromes (PAISs)
    • Some PAISs fulfill ME/CFS diagnostic criteria.
    • Lack of consensus on distinctions among terms like ME, CFS, post-infectious fatigue syndrome, and post-viral fatigue syndrome.
  • Prevalence and Prognosis
    • Data on PAISs prevalence and prognosis are lacking.
    • PASC shares similarities with chronic illnesses from various pathogens.
    • Core symptoms include exertion intolerance, fatigue, neurocognitive impairment, and more.
  • Literature Exploration
    • Identifying common denominators across PAISs.
    • Themes suggest a unifying pathophysiology for post-infectious chronic disability.

Exploring the complexities of Post-Infectious Fatigue Syndromes reveals a landscape where diagnostic criteria overlap, prevalence data is scarce, and core symptoms persist, hinting at a shared pathophysiology underlying chronic disability post-infection. 

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Credible Source:

Sources:

Source:  Choutka J, Jansari V, Hornig M, Iwasaki A. Unexplained post-acute infection syndromes. Nature Medicine. 2022 May;28(5):911-23.

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