Long COVID-19 syndrome associated with Omicron XBB.1.5 infection: a case report



Título del documento: Long COVID-19 syndrome associated with Omicron XBB.1.5 infection: a case report
Revue: Memorias do Instituto Oswaldo Cruz
Base de datos: PERIÓDICA
Número de sistema: 000459444
ISSN: 0074-0276
Autores: 1
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Instituciones: 1Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro. Brasil
2Fundacao Oswaldo Cruz, Instituto Oswaldo Cruz, Rio de Janeiro. Brasil
3University of California at Los Angeles, Institute of the Environment and Sustainability, Los Angeles, California. Estados Unidos de América
4Liverpool School of Tropical Medicine, Department of Clinical Research, Londres. Reino Unido
5University of California at Los Angeles, David Geffen School of Medicine, Los Angeles, California. Estados Unidos de América
Año:
Volumen: 118
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, descriptivo
Resumen en inglés There is interest in lingering non-specific symptoms after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, referred to as Long coronavirus disease 2019 (Long COVID-19). It remains unknown whether the risk of Long COVID-19 is associated with pre-existing comorbidities or initial COVID-19 severity, including infections due to new Omicron lineages which predominated in 2023. OBJECTIVES The aim of this case report was to characterize the clinical features of acute XBB.1.5 infection followed by Long COVID-19. METHODS We followed a 73-year old female resident of Rio de Janeiro with laboratory-confirmed SARS-CoV-2 during acute infection and subsequent months. The SARS-CoV-2 lineage was determined by genome sequencing. FINDINGS The participant denied comorbidities and had completed a two-dose vaccination schedule followed by two booster doses eight months prior to SARS-CoV-2 infection. Primary infection by viral lineage XBB.1.5. was clinically mild, but the participant subsequently reported persistent fatigue. MAIN CONCLUSIONS This case demonstrates that Long COVID-19 may develop even after mild disease due to SARS-CoV-2 in fully vaccinated and boosted individuals without comorbidities. Continued monitoring of new SARS-CoV-2 lineages and associated clinical outcomes is warranted. Measures to prevent infection should continue to be implemented including development of new vaccines and antivirals effective against novel variants
Disciplinas: Medicina
Palabras clave: Neumología,
Virus,
Inmunología,
SARS-CoV-2,
Síndrome post-COVID-19 agudo,
Evasión inmune,
COVID prolongado
Keyword: Pneumology,
Virus,
Immunology,
SARS-CoV-2,
Acute post-COVID-19 syndrome,
Immune evasion,
Long COVID
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