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A research interpretation on the mechanism of long COVID: SARS-CoV-2 infection may reactivate latent viruses such as EBV, CMV, HSV, causing persistent symptoms. Long COVID may be a multi-mechanism disease.
An autopsy study found replicating SARS-CoV-2 in the hearts of Long COVID patients, associated with cardiac symptoms and gene expression changes, suggesting viral persistence drives Long COVID cardiac pathology.
An article discussing the underlying causes of Long Covid based on current research.