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Updated: Oct 19, 2025

Induction and Diverse Assessment Indicators of Experimental Autoimmune Encephalomyelitis
Published on: September 9, 2022
Patient perceptions of infectious illnesses preceding Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Leonard A Jason1, Samuel Yoo1, Shaun Bhatia1
1Center for Community Research, 2453DePaul University, Chicago, IL, USA.
Objectives:
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is often reported to be caused by an infectious agent. However, it is unclear whether one infectious agent might be the cause or whether there might be many different infectious agents. The objective of this study was to identify self-reported infectious illnesses associated with the onset of ME/CFS.
Methods:
The present study involved data from multiple sites in several countries. 1773 individuals diagnosed with either ME, CFS or ME/CFS provided qualitative data concerning infectious triggers which were coded and classified for analysis.
Results:
60.3% of patients report a variety of infectious illnesses some time before onset of ME/CFS. The most frequently reported infectious illness was Mononucleosis, which occurred in 30% of infections. However, over 100 other infectious illnesses were mentioned.
Discussion:
The findings suggest that many infectious agents might be associated with the onset of ME/CFS.
Insights
Many infectious illnesses may trigger Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). Over 60% of patients reported infections before ME/CFS onset, with Mononucleosis being common but over 100 other infections also identified.
Area of Science:
- Medical Research
- Infectious Diseases
- Immunology
Background:
- Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex condition often linked to prior infections.
- The specific infectious agents responsible for ME/CFS onset remain largely unidentified.
- Research is needed to understand the spectrum of infectious triggers for ME/CFS.
Purpose of the Study:
- To identify self-reported infectious illnesses associated with the onset of ME/CFS.
- To determine if a single infectious agent or multiple agents are linked to ME/CFS development.
- To categorize and analyze the types of infections reported by ME/CFS patients.
Main Methods:
- A multi-site, international study involving 1773 individuals diagnosed with ME/CFS.
- Collection of qualitative data on self-reported infectious triggers preceding ME/CFS onset.
- Systematic coding and classification of reported infectious illnesses for analysis.
Main Results:
- Over 60% of ME/CFS patients reported experiencing infectious illnesses before symptom onset.
- Mononucleosis was the most frequently reported infection (30% of reported infections).
- A wide range of over 100 different infectious illnesses were associated with ME/CFS onset.
Conclusions:
- The findings indicate that numerous infectious agents may be implicated in the development of ME/CFS.
- ME/CFS may result from diverse infectious triggers rather than a single causative agent.
- Further research into the specific roles of various infections in ME/CFS pathogenesis is warranted.
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