长COVID:慢性感染后炎症的结果!

Expert review of respiratory medicine Pub Date : 2024-12-01 Epub Date: 2024-12-06 DOI:10.1080/17476348.2024.2438104
Joseph M Blondeau
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引用次数: 0

摘要

简介:长COVID定义了急性COVID-19感染后恢复的患者症状持续存在。这份手稿是对当前对长冠状病毒及其潜在原因和后果的看法的简要更新。涵盖领域:在描述了约200种症状和不同严重程度的患者之间,长冠状病毒的程度有所不同。持续的炎症或持续的病毒感染,或两者兼而有之,可能是长期COVID的原因,但解决这个问题需要数年时间。专家意见:长COVID是COVID-19感染的不幸后果,目前尚不清楚为什么有些人会受到影响,而有些人则不会,与其他传染病一样,它可能是病毒株或宿主的功能,也可能是两者兼而有之。急性感染期间的直接器官损伤与炎症介导的损伤是需要解决的重要问题。疾病结局和慢性后遗症可能与感染因子和/或宿主免疫和遗传易感性的菌株有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long COVID: a consequence of chronic post-infectious inflammation!

Introduction: Long COVID defines persistence of symptoms in patients that recovered from acute COVID-19 infections. This manuscript is a brief update on current thinking on long COVID and potential causes and consequences.

Areas covered: The extent of long COVID varies between patients with some 200 symptoms described and of different severities. Persistent inflammatory or persistent viral infections or both may be the cause of long COVID but sorting this out will take years.

Expert opinion: Long COVID is an unfortunate consequence of COVID-19 infection and it remains uncertain why some people are afflicted and others not and as with other infectious diseases, it may be both a function of the virus strain, the host or both. Direct organ damage during acute infection versus inflammatory mediated damage over time are important questions to address. The disease outcome and chronic sequelae are likely related to the strains of infectious agent and/or host immunity and genetic predisposition.

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