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Mixed (EBV / Ross River virus / Coxiella burnetii)

Mixed · multiple · 1 cohort · 1 observations · CC BY 4.0

All PAIS cohorts in this database triggered by Mixed (EBV / Ross River virus / Coxiella burnetii). Flags mark evidentiary caveats (preprint, grey literature, patient-reported, uncontrolled, etc.).

Dubbo Infection Outcomes Study (DIOS)

Prospective (inception) · N=253 · control None · 1 obs · max follow-up 12 mo

Measures: Chronic fatigue syndrome / ME-CFS caseness

Landmark prospective inception cohort showing a stereotyped post-infective fatigue syndrome across three unrelated pathogens, with risk predicted by acute-illness severity rather than the specific microbe. Compared across pathogens; no unexposed control group.

Susceptibility & conversion predictors

FactorContrastWindowOutcomeDirectionQuestionTemporalityCohort
Acute illness severity (composite index)higher acute illness severity (per unit of the acute symptom-severity score)Acute phaseChronic fatigue syndrome / ME-CFS caseness↑ increases riskConversion (given infection → syndrome)validDubbo Infection Outcomes Study
Ageper year of agePre-infectionChronic fatigue syndrome / ME-CFS casenessnull resultConversion (given infection → syndrome)validDubbo Infection Outcomes Study
Female sexfemale vs maleGenetic / fixedChronic fatigue syndrome / ME-CFS casenessnull resultConversion (given infection → syndrome)validDubbo Infection Outcomes Study
Premorbid psychiatric historypremorbid psychiatric history vs nonePre-infectionChronic fatigue syndrome / ME-CFS casenessnull resultConversion (given infection → syndrome)validDubbo Infection Outcomes Study
Infecting pathogen (which agent)EBV vs Ross River virus vs Coxiella burnetiiAcute phaseChronic fatigue syndrome / ME-CFS casenessnull resultConversion (given infection → syndrome)validDubbo Infection Outcomes Study
Acute cytokine levels (IL-6/IL-1β/IFN-γ/TNF-α/IL-10)higher acute cytokine levelsAcute phaseChronic fatigue syndrome / ME-CFS casenessnull resultConversion (given infection → syndrome)validDubbo Infection Outcomes Study