Ohm, I expect that the range of symptoms in the
Post# of 148118
I expect that the range of symptoms in the LH/PASC population is indicative of the multiple manifestations of covid infection.
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I'm a bit doubtful on that being the cause of longhaulers. Epstein-Barr can reactivate after another infection so it's natural that it could occur after Covid-19. But the broadness and severity of symptoms in longhaulers seems beyond what Epstein-Barr would inflict.
However, indication of EBV reactivation (antibody to EBV Diffuse Early Antigen) in the very similar CFS/ME was found in 94% of patients, vs 32% in controls.
Gold found the same activation in 67% of long covid patients vs. 10% of controls.
Severity of covid infection also higher/great pneumonia incidence in patients with reactivated EBV.
I'm sure this is not the whole story, but perhaps a significant part.
As with everything else covid related, there is likely no single or simple explanation.