Evidence map›Paper›PMID 39685583›Full record

ReviewJournal of clinical medicine2024

Lights and Shadows of Long COVID: Are Latent Infections the Real Hidden Enemy?

Francesca Serapide, Marisa Talarico, Salvatore Rotundo, Vittorio Pascale, Riccardo Serraino, Enrico Maria Trecarichi, Alessandro Russo

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Bridging Gaps in Long COVID Therapy: A Review.Current medicinal chemistry · 2026
    Review
  4. MTHFR allele and one-carbon metabolic profile predict severity of COVID-19.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Francesca SerapideDipartimento di Scienze Mediche e Chirurgiche, Università "Magna Graecia", 88100 Catanzaro, Italy.
Marisa TalaricoUnità Operativa di Cardiologia, Azienda Ospedaliero Universitaria Renato Dulbecco, 88100 Catanzaro, Italy.ORCID 0000-0003-2523-7963
Salvatore RotundoDipartimento di Scienze Mediche e Chirurgiche, Università "Magna Graecia", 88100 Catanzaro, Italy.ORCID 0000-0001-5441-1727
Vittorio PascaleUnità Operativa di Cardiologia, Azienda Ospedaliero Universitaria Renato Dulbecco, 88100 Catanzaro, Italy.ORCID 0000-0003-0465-4709
Riccardo SerrainoDipartimento di Scienze Mediche e Chirurgiche, Università "Magna Graecia", 88100 Catanzaro, Italy.
Enrico Maria TrecarichiDipartimento di Scienze Mediche e Chirurgiche, Università "Magna Graecia", 88100 Catanzaro, Italy.ORCID 0000-0001-9064-7745
Alessandro RussoDipartimento di Scienze Mediche e Chirurgiche, Università "Magna Graecia", 88100 Catanzaro, Italy.ORCID 0000-0003-3846-4620

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long COVID-19 (LC) is a poorly understood, multifactorial condition that persists for at least three months following SARS-CoV-2 infection. The underlying pathophysiological mechanisms responsible for the wide range of associated symptoms-including fatigue, brain fog, and respiratory issues-remain unclear. However, emerging evidence suggests that the reactivation of latent viral infections, such as Epstein-Barr virus, cytomegalovirus, and varicella-zoster virus, may significantly contribute to the complexity of LC. These latent viruses can be reactivated by SARS-CoV-2, contributing to a chronic inflammatory state that prolongs symptomatology. This review confirms the potential involvement of latent viral infections in LC and examines whether these infections play an independent role or act synergistically with other factors. In addition, recent studies have highlighted viral persistence and immune dysregulation as key elements in LC. Our findings suggest that preventative strategies, including vaccination and antiviral treatments during the acute phase of COVID-19, show potential in reducing LC risk by preventing viral reactivation. However, tailored diagnostic and therapeutic strategies targeting these latent infections are urgently needed. Identifying biomarkers of viral reactivation, particularly for high-risk populations, could be considered another effective strategy to mitigate LC severity. Further research is crucial to better understand the interactions between SARS-CoV-2 and latent infections, and to improve the prevention and treatment of LC.

Indexed as

COVID-19EBVHIVlatent viral infectionsLong COVIDpost-acute sequalaeSARS-CoV-2VZV

Identifiers

PMID39685583
PMCPMC11641947

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.