2024-02-10 04:09:09
(Paris) Tens of millions of people around the world are believed to be suffering from long-term COVID-19, and, four years following the start of the pandemic, researchers continue to make progress in the “puzzle” of this post-infectious syndrome, with the hope of better treatment of the sick.
Published yesterday at 11:09 p.m.
Daniel LAWLER Agence France-Presse
Long COVID-19 is the name given to a wide variety of symptoms usually present within three months following infection and persisting for at least two months following infection with the SARS-CoV-2 virus, the most common being fatigue, shortness of breath, muscle pain, brain fog.
While the number of people affected by this phenomenon remains difficult to assess, it would represent 10 to 20% of people who have contracted COVID-19, according to the World Health Organization (WHO).
Many teams around the world are still working on the mechanisms, diagnosis or treatment of this phenomenon. Several recent works seem to mark progress.
A study published in January in the journal Science showed significant differences in blood proteins among more than 110 patients who had COVID-19, including 40 with symptoms six months following initial infection.
“All aspects” of life
Part of the body’s immune system – the complement system, which normally fights infections by killing infected cells – apparently remains active, continuing to attack healthy targets and causing tissue damage, these researchers say.
The team found that when people recovered from long COVID-19, this complement system also improved, according to Onur Boyman. “This shows that long COVID-19 is a disease and that it is possible to measure it,” added this researcher, raising hope for the identification of specific markers.
For Lucia, a U.S. resident with long-term COVID-19 who preferred not to give her last name, “studies like these bring us a lot closer to understanding the disease.”
Another recent study in patients with long COVID-19, published in Naturedetected abnormalities in muscle tissue and a dysfunction of mitochondria – sources of energy for the cell – which might explain the great fatigue of some people.
The importance of patient support is underlined by a study published this week in the British Medical Journal, according to which group rehabilitation improves the quality of life of patients suffering from post-COVID-19 syndrome.
Elusive because “multisystemic”
The protection of vaccines once morest SARS-CoV-2 once morest the risk of long COVID-19, in adults and children, has been confirmed by several recent studies.
The causes can also be associated, or even succeed one another in the same individual, or vary depending on the person.
Understanding the mechanisms of long-term COVID-19 might also help understand “why and how acute infections cause chronic diseases,” according to Ziyad Al-Aly.
This might thus strengthen the fight once morest other conditions such as chronic fatigue syndrome or persistent post-flu symptoms.
Especially since “in a context of climate change”, there is a risk of “more and more emergence of infectious pathologies, a large number of which will likely give rise to post-infectious syndromes”, warned in November Brigitte Autran, president of Covars, an advisory body which sent an opinion on long COVID-19 to the French government.
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