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      Long-term outcomes of pediatric infections: from traditional infectious diseases to long covid

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          Abstract

          There is limited evidence available on the long-term impact of SARS-CoV-2 infection in children. In this article, the authors analyze the recent evidence on pediatric long covid and lessons learnt from a pediatric post-covid unit in Rome, Italy. To gain a better understanding of the concerns raised by parents and physicians in relation to the potential long-term consequences of this novel infection, it is important to recognize that long-term effect of a post-infectious disease is not a new phenomenon.

          Plain language summary

          The authors analyze the recent evidence on pediatric long covid and lessons learnt from a pediatric post-covid unit in Rome, Italy. Also, we analyze the long-term effects of other infectious diseases.

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          An analysis of the recent evidence on pediatric long covid and lessons learnt from a pediatric post-covid unit in Rome, Italy.

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          Most cited references138

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          Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19

          Maximilian Ackermann, Stijn Verleden, Mark Kuehnel … (2020)
          Progressive respiratory failure is the primary cause of death in the coronavirus disease 2019 (Covid-19) pandemic. Despite widespread interest in the pathophysiology of the disease, relatively little is known about the associated morphologic and molecular changes in the peripheral lung of patients who die from Covid-19.
          Article 0 comments Cited 2868 times – based on 0 reviews     Review now
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            Persistent Symptoms in Patients After Acute COVID-19

            Angelo Carfì, Roberto Bernabei, Francesco Landi (2020)
            This case series describes COVID-19 symptoms persisting a mean of 60 days after onset among Italian patients previously discharged from COVID-19 hospitalization.
            Article 0 comments Cited 1978 times – based on 0 reviews     Review now
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              Post-acute COVID-19 syndrome

              Ani Nalbandian, Kartik Sehgal, Aakriti Gupta … (2021)
              Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the coronavirus disease 2019 (COVID-19) pandemic, which has resulted in global healthcare crises and strained health resources. As the population of patients recovering from COVID-19 grows, it is paramount to establish an understanding of the healthcare issues surrounding them. COVID-19 is now recognized as a multi-organ disease with a broad spectrum of manifestations. Similarly to post-acute viral syndromes described in survivors of other virulent coronavirus epidemics, there are increasing reports of persistent and prolonged effects after acute COVID-19. Patient advocacy groups, many members of which identify themselves as long haulers, have helped contribute to the recognition of post-acute COVID-19, a syndrome characterized by persistent symptoms and/or delayed or long-term complications beyond 4 weeks from the onset of symptoms. Here, we provide a comprehensive review of the current literature on post-acute COVID-19, its pathophysiology and its organ-specific sequelae. Finally, we discuss relevant considerations for the multidisciplinary care of COVID-19 survivors and propose a framework for the identification of those at high risk for post-acute COVID-19 and their coordinated management through dedicated COVID-19 clinics.
              Article 0 comments Cited 1964 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Future Microbiol
                Journal ID (iso-abbrev): Future Microbiol
                Journal ID (publisher-id): FMB
                Title: Future Microbiology
                Publisher: Future Medicine Ltd (London, UK )
                ISSN (Print): 1746-0913
                ISSN (Electronic): 1746-0921
                Publication date (Electronic, pub): 10 March 2022
                Publication date (Print, pub): January 2022
                Publication date PMC-release: 10 March 2022
                Electronic Location Identifier: 10.2217/fmb-2022-0031
                Affiliations
                1Department of Woman & Child Health & Public Health, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome, Italy
                2Center for Global Health Research & Studies, Università Cattolica del Sacro Cuore, Roma, Italia
                3Department of Diagnostic Imaging, Hemorrhagic & Thrombotic Diseases Center, Oncological Radiotherapy, & Hematology, Foundation ‘A Gemelli’ IRCCS University Hospital, Rome, Italy
                4Pediatric Section, Department of Surgery, Dentistry, pediatrics, & Gynaecology, University of Verona, Verona, Italy
                5Patient author, Italy
                6Patient author, UK & Northern Ireland
                7Patient author, member of the CAC Community Advisory Council of Solve ME/CFS Initiative, Pietro Barilla Children's Hospital, Department of Medicine & Surgery, University of Parma, Via Gramsci 14, Parma, 43126, Italy
                8Pietro Barilla Children's Hospital, Department of Medicine & Surgery, University of Parma, Via Gramsci 14, Parma, 43126, Italy
                9Department of pediatrics & pediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
                10MSc Immunology, Imperial College London, London, UK
                11ISARIC Global Support Centre, Centre for Tropical Medicine & Global Health, University of Oxford, Oxford, UK
                Author notes
                [* ]Author for correspondence: Tel.: +39 331 981 9715; danilobuonsenso@ 123456gmail.com
                [‡]

                Both first authors

                [§]

                Both last authors

                Author information
                https://orcid.org/0000-0001-8567-2639
                Article
                DOI: 10.2217/fmb-2022-0031
                PMC ID: 8910780
                PubMed ID: 35264003
                SO-VID: 5120986d-f08a-4a31-bb26-cf04a038b8a2
                Copyright © © 2022 The Authors
                License:

                This work is licensed under the Creative Commons Attribution 4.0 License

                History
                Date received : 31 January 2022
                Date accepted : 23 February 2022
                Date: 10 March 2022
                Page count
                Pages: 21
                Categories
                Subject: Review

                Keywords: children,covid-19,long covid,microclots,post-covid-19 condition,sars-cov-2,viral persistence
                Data availability:
                Keywords: children, covid-19, long covid, microclots, post-covid-19 condition, sars-cov-2, viral persistence

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