Abstract
Chronic fatiguing illnesses following well-documented infections and acute "infectious-like" illnesses of uncertain cause have been reported for many decades. Chronic fatigue syndrome (CFS) was first formally defined in 1988. There is considerable evidence that CFS is associated with abnormalities of the central and autonomic nervous systems. There also is evidence linking several infectious agents with CFS, although no agent has been proven to be a cause of the illness. Most of the infectious agents that have been linked to CFS are able to produce a persistent, often life-long, infection and thus are a constant incitement to the immune system. Most also have been shown to be neuropathogens. The evidence is consistent with the hypothesis that CFS, in some cases, can be triggered and perpetuated by several chronic infections that directly or indirectly affect the nervous system, and that symptoms are a reflection of the immune response to the infection.
Highlights
Chronic fatiguing illnesses following well-documented infections and acute ‘‘infectious-like’’ illnesses of uncertain cause have been reported for many decades
There is considerable evidence that the nervous system is involved in the pathogenesis of Chronic fatigue syndrome (CFS), there is no proof of this hypothesis
Evidence of Central Nervous System Involvement In an illness characterized by fatigue, pain, and cognitive problems, it is reasonable to postulate that the central nervous system (CNS) is directly or indirectly involved
Summary
“Role of Infection and Neurologic Dysfunction in Chronic Fatigue Syndrome.”. Seminars in Neurology 31 (03) (July): 325–337.
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