Long-term neurological and gastrointestinal sequelae of SARS-CoV-2, influenza, and other neurotropic infections with and without vaccination

Publication date: Jul 25, 2024

COVID-19 increases the risk of neurological and gastrointestinal sequelae, but it is unclear if it does so more than other infections. Using a multicenter record network, we matched 649,478 COVID-19 patients to negative controls (NCs) and patients infected with influenza, human herpesvirusses, and lyme’s disease (LD) to compare new-onset gastrointestinal (GISx), autonomic (ANSx), sensory (SNSx), and motor (MNSx) symptoms 3-12 months after infection. ANSx showed significant increases compared to NCs (odds ratio (OR) 1.34; confidence interval (CI) 1.31-1.36) and most other investigated infections (LD, influenza, infectious mononucleosis, and herpes zoster; OR 1.40, 1.13, 1.11, and 1.05, respectively). SNSx (OR 1.35; CI 1.31-1.39), MNSx (OR 1.32; CI 1.28-1.36) and GISx (OR 1.36; CI 1.33-1.38) were increased but varied more compared with other infections. COVID-19 vaccination reduced the risk of GISx, ANSx, and SNSx. Sequelae frequently ascribed to COVID-19 may manifest with similar or higher frequency after other infections, except ANSx.

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Concepts Keywords
Arizona Ansx
Chickenpox Cov
Herpesvirusses Covid
Increased Gastrointestinal
Gisx
Infections
Influenza
Medrxiv
Ncs
Neurological
Preprint
Sars
Sequelae
Snsx
Symptoms

Semantics

Type Source Name
disease MESH sequelae
disease MESH influenza
disease MESH infections
disease VO vaccination
disease MESH COVID-19
disease IDO infection
disease MESH infectious mononucleosis
disease MESH herpes zoster
disease VO frequency
disease MESH Gastrointestinal Disorders
disease VO USA
disease MESH ‘Long COVID
disease MESH gastro esophageal reflux disease
disease MESH cognitive dysfunction
disease MESH neuralgia
disease MESH autoimmunity
disease MESH dysbiosis
disease MESH abnormalities
disease MESH polyneuropathies
disease MESH myopathies
disease MESH bacterial infection
disease VO study design
disease MESH Varicella
disease IDO symptom
disease VO population
drug DRUGBANK Methionine
disease MESH infectious diseases

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