{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:35:02Z","timestamp":1787070902627,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Whether infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be complicated by immune suppression is under debate, but the following case suggests decreased immune competence during and after a SARS-CoV-2 infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report:<\/jats:title>\n                    <jats:p>The patient is a 50-year-old woman with a previous history of transient hyperthyroidism, allergy against ambrosia, and burn-out syndrome, who experienced a mild infection with SARS-CoV-2 during which she developed candida pharyngitis, which was successfully treated with miconazole. Twenty-eight days after clinical recovery from the SARS-CoV-2 infection, she developed right-sided zoster oticus with vestibular neuronitis and was successfully treated with acyclovir.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The case suggests that infection with SARS-CoV-2 can weaken immune competence and precipitate the development of candidiasis and focal infection with the zoster virus. Even mild infections with SARS-CoV-2 may be complicated by immune-compromise and immune-concomitant superinfections, which is why coronavirus disease 2019 (COVID-19) patients should strengthen their immune system not only during but also after the infection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_1432_23","type":"journal-article","created":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T22:03:19Z","timestamp":1719352999000},"page":"2787-2788","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["COVID-19 reduces immune competence and precipitates superinfections"],"prefix":"10.4103","volume":"13","author":[{"given":"Josef","family":"Finsterer","sequence":"first","affiliation":[{"name":"Department of Neurology, Neurology and Neurophysiology Center, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulvio A.","family":"Scorza","sequence":"additional","affiliation":[{"name":"Disciplina de Neuroci\u00eancia, Universidade Federal de S\u00e3o Paulo\/Escola Paulista de Medicina (UNIFESP\/EPM), S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,6,28]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"606779","DOI":"10.3389\/fmolb.2020.606779","article-title":"SARS CoV-2 organotropism associated pathogenic relationship of gut-brain axis and illness","volume":"7","author":"Shinu","year":"2020","journal-title":"Front Mol Biosci"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"415","DOI":"10.3892\/ijmm.2020.4828","article-title":"An integrative look at SARSCoV2 (Review)","volume":"47","author":"Ortega","year":"2021","journal-title":"Int J Mol Med"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"e29192","DOI":"10.1002\/jmv.29192","article-title":"Response 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