What is the impact of infections on someone with multiple sclerosis?

Infections, especially virus infections, are likely to precipitate new multiple sclerosis (MS) attacks as well as aggravate old symptoms. Viral influenza is the worst offender; during flu epidemics neurologists see many of their MS patients. Many studies show increase in MS attacks during the months when respiratory infections are common.

Infections and viruses precipitate attacks because they stimulate the immune system to put out antibodies. In the process the immune system may also put out antimyelin antibodies. Additionally, infection can cause worsening due to accompanying high fever.

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