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SARS-CoV-2 RNA in the Cerebrospinal Fluid of a Patient with Long COVID #MMPMID34659752
Viszlayova D; Sojka M; Dobrodenkova S; Szabo S; Bilec O; Turzova M; Durina J; Baloghova B; Borbely Z; Krsak M
Ther Adv Infect Dis 2021[Jan]; 8 (ä): 20499361211048572 PMID34659752show ga
Over 10% of COVID-19 convalescents report post-COVID-19 complications, namely, 'long COVID' or 'post-COVID syndrome,' including a number of neuro-psychiatric symptoms. The pathophysiology of COVID-19 in the central nervous system is poorly understood but may represent post-COVID injury, ongoing sterile maladaptive inflammation, or SARS-CoV-2 persistence. We describe a long COVID patient with SARS-CoV-2 RNA in the cerebrospinal fluid, which seems important, specifically due to recent reports of gray matter volume loss in COVID-19 patients. Further studies of SARS-CoV2 RNA, markers of inflammation, and neuronal damage in the CSF of patients with long COVID would be useful and should address whether the CNS can serve as a reservoir of SARS-CoV-2, clarify the pathway by which COVID-19 contributes to CNS dysfunction, and how best to therapeutically address it.