Danilo Buonsenso's Avatar

Danilo Buonsenso

@buonsenso.bsky.social

Pediatric Infectious Disease doctor. Fighting to care for children with Long Covid & ME/CFS. My book on my LONG COVID JOURNEY: https://tinyurl.com/4tsvhwat

3,712 Followers  |  102 Following  |  530 Posts  |  Joined: 08.10.2023  |  2.0637

Latest posts by buonsenso.bsky.social on Bluesky


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A Pathogenic Monocyte Signature in Long COVID: What It Means for Buonsenso and the Kids Long COVID has puzzled scientists, clinicians, and families alike for years β€” especially when children and adolescents continue to struggle with fatigue, shortness of breath, and other persistent symp...

A Pathogenic Monocyte Signature in Long COVID: What It Means for Buonsenso and the Kids

danilobuonsenso.substack.com/p/a-pathogen...

01.02.2026 15:54 β€” πŸ‘ 7    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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Long COVID is here to stayβ€”even in children Post-acute sequelae of SARS-CoV-2 infection (PASC, also known as long COVID) are complex, multisystem, long-lasting complications of SARS-CoV-2 infection that profoundly impact the daily life of those...

"These findings reinforce an urgent message that children and adolescents can develop #LongCovid not only after an initial infection, but also after reinfection. The public health implications are substantial." @buonsenso.bsky.social

www.thelancet.com/journals/lan...

#LongCovidKids #Children

29.01.2026 20:59 β€” πŸ‘ 26    πŸ” 16    πŸ’¬ 0    πŸ“Œ 1
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Long COVID is here to stayβ€”even in children Post-acute sequelae of SARS-CoV-2 infection (PASC, also known as long COVID) are complex, multisystem, long-lasting complications of SARS-CoV-2 infection that profoundly impact the daily life of those...

Long COVID is here to stayβ€”even in children 😒
@buonsenso.bsky.social

These findings reinforce an urgent message that children and adolescents can develop long COVID not only after an initial infection, but also after reinfection. The public health implications are substantial.
Before this study,

29.01.2026 22:50 β€” πŸ‘ 30    πŸ” 15    πŸ’¬ 1    πŸ“Œ 0
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Plasmapheresis, apheresis, and why people with Long Covid or ME/CFS talk about them as we are implementing a protocol for plasmapheresis in patients with Long Covid and ME/CFS, I wanted to summarize with you what it is and why we are thinking about that.

Plasmapheresis, apheresis, and why people with Long Covid or ME/CFS talk about them

danilobuonsenso.substack.com/p/plasmapher...

25.01.2026 14:29 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Long COVID: When the Fire Inside Never Turns Off β€” A Personal Reflection Every parent wants their child to be healthy and whole.

Long COVID: When the Fire Inside Never Turns Off β€” A Personal Reflection

danilobuonsenso.substack.com/p/long-covid...

18.01.2026 19:04 β€” πŸ‘ 5    πŸ” 3    πŸ’¬ 0    πŸ“Œ 1
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after years of illness and gaslighting, this kid with #LongCovid is leaving again❀️
grateful for this mum’s email.

Why IVIG and immunemodulation work most time is written since two years in my book tinyurl.com/4tsvhwat

and blog substack.com/@mecfslongco...

10.01.2026 12:43 β€” πŸ‘ 14    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

where?

04.01.2026 15:14 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Abnormal Energy Metabolism and Immune Signatures in ME/CFS: What the Latest Paper Means for Kids and Families Chronic fatigue syndrome (ME/CFS) remains one of the most puzzling, debilitating disorders in medicine β€” especially when it affects children and adolescents.

Energy Metabolism and Immune Signatures in ME/CFS: What the Latest Paper Means for Kids and Families

danilobuonsenso.substack.com/p/abnormal-e...

04.01.2026 15:14 β€” πŸ‘ 10    πŸ” 5    πŸ’¬ 1    πŸ“Œ 0
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Long COVID, Immune Dysregulation & What It Means for Kids β€” New Insights and Future Therapies Long COVID isn’t just a collection of lingering symptoms β€” it may reflect deep changes in the immune system that can persist for years.

Long COVID, Immune Dysregulation & What It Means for Kids β€” New Insights and Future Therapies

danilobuonsenso.substack.com/p/long-covid...

28.12.2025 15:21 β€” πŸ‘ 18    πŸ” 8    πŸ’¬ 1    πŸ“Œ 0
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When I started the #longcovid in kids journey we were literally alone.
Now, we arrived to speak about long covid in children in @TheLancetInfDis Podcast!❀️

MY LONG COVID JOURNEY, WHAT I DO AND WHY IN MY BOOK: tinyurl.com/4tsvhwat

πŸ”Š Spotify: bit.ly/4p7jnpy

22.12.2025 13:56 β€” πŸ‘ 12    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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You Are Not Alone – Let’s Connect Families, Young People and Communities Living with Long Covid and ME/CFS When a child, teenager, or young adult develops Long Covid or ME/CFS, the world can suddenly become very small.

You Are Not Alone – Let’s Connect Families, Young People and Communities Living with Long Covid and ME/CFS

danilobuonsenso.substack.com/p/you-are-no...

14.12.2025 16:15 β€” πŸ‘ 11    πŸ” 7    πŸ’¬ 0    πŸ“Œ 1
LinkedIn This link will take you to a page that’s not on LinkedIn

a new major study on Nature immunology further reinforces the overwhelming evidence of chronic immune activation in #longcovid, perfectly justifying off label use of immune modulators (eg IVIG) in the most severe cases that cannot access trials.
Saying since a few years in my book

lnkd.in/dPHkH3re

14.12.2025 09:06 β€” πŸ‘ 13    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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So the Pediatric Infectious Diseases games are ready to go in 2d!
Impressive amount of different european countries participating this year!

09.12.2025 20:23 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

I know, in these cases it’s not worth it

07.12.2025 17:24 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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When Patients Ask for a Cure: A Doctor’s Honest Reflection on Long Covid and ME/CFS In the past months, my inbox (and whatsapp!) has filled with messages from patients and families living with Long Covid or ME/CFS.

When Patients Ask for a Cure: A Doctor’s Honest Reflection on Long Covid and ME/CFS

danilobuonsenso.substack.com/p/when-patie...

07.12.2025 17:23 β€” πŸ‘ 18    πŸ” 6    πŸ’¬ 1    πŸ“Œ 1
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Oxaloacetate, long COVID and ME/CFS: what the new trial shows β€” and a pragmatic (non-prescriptive) scheme for clinicians Fatigue and cognitive fog remain among the most disabling complaints for people with long COVID and with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS).

Oxaloacetate, long COVID and ME/CFS: what the new trial shows β€” and a pragmatic (non-prescriptive) scheme for clinicians

danilobuonsenso.substack.com/p/oxaloaceta...

30.11.2025 17:16 β€” πŸ‘ 6    πŸ” 4    πŸ’¬ 1    πŸ“Œ 0

let us know

23.11.2025 15:26 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

with the only and one!!

23.11.2025 15:25 β€” πŸ‘ 36    πŸ” 8    πŸ’¬ 1    πŸ“Œ 0
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Low-Dose Rapamycin for ME/CFS and Long COVID: New Clinical Data, Promising Hints, and Ongoing Caution Over the past months, I have written several posts exploring the potential role of low-dose rapamycin in Long COVID and ME/CFS (Part 1, Part 2, Part 3).

Low-Dose Rapamycin for ME/CFS and Long COVID: New Clinical Data, Promising Hints, and Ongoing Caution

danilobuonsenso.substack.com/p/low-dose-r...

23.11.2025 15:25 β€” πŸ‘ 16    πŸ” 5    πŸ’¬ 2    πŸ“Œ 1
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What’s new in the Longβ€―COVID / ME/CFS endothelial story β€” and what that means for treatment You may remember that in earlier posts we discussed how both Long COVID and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) appear to share a key feature: endothelial inflammation/dysfunct...

What’s new in the Longβ€―COVID / ME/CFS endothelial story β€” and what that means for treatment

danilobuonsenso.substack.com/p/whats-new-...

16.11.2025 15:10 β€” πŸ‘ 13    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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you’ll read several success papers about #nirsevimab and #RSV but to make it a successful and long term sustainable interventions you need to read also of out chorus provocative voices, like this one !

rdcu.be/ePXTa

14.11.2025 18:45 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Long COVID and the AMPA Pathway: New Clues from Brain Imaging Over the past few years, Long COVID has become one of the most puzzling and impactful conditions in post-viral medicine β€” especially for the many children and adults who continue to experience β€œbrain ...

Long COVID and the AMPA Pathway: New Clues from Brain Imaging

danilobuonsenso.substack.com/p/long-covid...

09.11.2025 16:57 β€” πŸ‘ 8    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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Conversations on IVIG and Monoclonals A recording from MD, PhD's live video

Conversations on IVIG and Monoclonals in #LongCovid #MECFS

danilobuonsenso.substack.com/p/conversati...

03.11.2025 16:00 β€” πŸ‘ 8    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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The second-order effects that the COVID-19 pandemic has had on pediatric populations SARS-CoV-2 can have long-term health consequences that persist beyond acute infection. While this is evident in adults and the elderly, the impact on children and adolescents remains under recogniz...

new on covid impact on kids

www.tandfonline.com/eprint/ZY2VI...

01.11.2025 08:01 β€” πŸ‘ 13    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

retweeting allows direct engagement

01.11.2025 08:01 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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When There Are No Treatments: Why Off-Label Drugs Should Be on the Table for Long Covid and ME/CFS What Does β€œOff-Label” Really Mean?

The latest from @buonsenso.bsky.social rings so true:

Yet when patients and families ask for treatments, the answer is almost always: β€œThere are no approved options.”

open.substack.com/pub/danilobu...

#PedSky
#LongCovidKids
#pwLC
#pwME

26.10.2025 14:58 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0
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Paediatric invasive group A streptococcal infections and associations with viral infections in 15 European countries after lifting non-pharmaceutical interventions against SARS-CoV-2: an interrupted t... After lifting non-pharmaceutical interventions (NPIs) against the transmission of SARS-CoV-2, various countries experienced an increase in invasive Gr…

glad our team contributed to another very important study on iGAS.
PEGASUS network

www.sciencedirect.com/science/arti...

22.10.2025 13:17 β€” πŸ‘ 6    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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β€œWe Can’t Do This Alone”: A Doctor’s Plea for Support in Caring for Long COVID and ME/CFS Patients As a pediatrician and infectious disease specialist, my days are full.

β€œWe Can’t Do This Alone”: A Doctor’s Plea for Support in Caring for Long COVID and ME/CFS Patients

danilobuonsenso.substack.com/p/we-cant-do...

19.10.2025 13:50 β€” πŸ‘ 73    πŸ” 28    πŸ’¬ 7    πŸ“Œ 6
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again viruses and dementia.
those of you negating this slow science progression and patients prevention options.

all started w #LongCovid revolution. years ago I said LC is clearly giving this indication and now science is confirming

all in my book: tinyurl.com/4tsvhwat

15.10.2025 08:44 β€” πŸ‘ 9    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Working (and Keeping Your Salary) When Long COVID or ME/CFS Makes Full-Time Work Impossible 1.

Working (and Keeping Your Salary) When Long COVID or ME/CFS Makes Full-Time Work Impossible

danilobuonsenso.substack.com/p/working-an...

12.10.2025 15:09 β€” πŸ‘ 5    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

@buonsenso is following 19 prominent accounts