ORIGINAL RESEARCH

The specifics of encephalitis after COVID-19

Bobrov MP1, Voitenkov VB1,2, Ekusheva EV1,3, Kiparisova ES1
About authors

1 Postgraduate Education Academy of the Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Medical Biological Agency, Moscow, Russia

2 Pediatric Research and Clinical Center of Infectious Diseases, Federal Medical Biological Agency, St. Petersburg, Russia

3 Belgorod State National Research University, Belgorod, Russia

Correspondence should be addressed: Maxim Pavlovich Bobrov
Volokolamskoye sh., 91, Moscow, 125371, Russia; ur.xobni@4202_vorbob_skam

About paper

Author contribution: Bobrov MP — literature analysis, data collection, manuscript authoring; Voitenkov VB — literature analysis, study planning, data interpretation, manuscript authoring; Ekusheva EV — study planning, collection and analysis of literature; Kiparisova ES — collection and analysis of literature.

Compliance with ethical standards: the submitted article has not been previously published, all borrowings are correct.

Received: 2023-11-03 Accepted: 2023-12-20 Published online: 2023-12-29
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Encephalitis is a group of acute infectious diseases affecting the substance of the brain. They often lead to disability or death, and, therefore, require urgent medical attention. The article discusses the etiology, pathogenesis, and clinical picture of encephalitis, with special attention to the course of this disease after the COVID-19 pandemic. We note the growing number of encephalitis cases, especially of autoimmune variety and those caused by herpes. The possible reason behind this trend is the disruption of operation of the immune system brought by COVID-19, which manifests as a cytokine storm, neuroinflammation, and autoimmune reactions. There are cases of COVID-19-dependent encephalitis described. The pathways taken by SARS-CoV-2 to penetrate into the cells of the central nervous system have not yet been fully studied, although there are hypotheses that this happens both trans-synaptically through mechanoreceptors and chemoreceptors of the respiratory system into the medulla oblongata, and through receptors of the angiotensin converting enzyme 2.

Keywords: COVID-19, encephalitis, neuroinfection, autoimmune encephalitis

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