Evidence map›Paper›PMID 24850323›Full record

ArticleEpidemiology and infection2015

Incidence, immunological and clinical characteristics of reactivation of latent Toxoplasma gondii infection in HIV-infected patients.

P Kodym, M Malý, O Beran, D Jilich, H Rozsypal, L Machala, M Holub

Abstract read
In one paragraph

Article in Epidemiology and infection, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
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  8. Article
  9. Article
  10. Article
  11. Seroprevalence ofPathogens (Basel, Switzerland) · 2024
    Article
  12. Diabetic Retinopathy during pregnancy in Hispanic women with latent Toxoplasma gondii infection.European journal of obstetrics, gynecology, and reproductive biology · 2024
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Seronegative Infection withJournal of clinical medicine · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

P KodymNational Reference Laboratory for Toxoplasmosis,National Institute of Public Health in Prague, Czech Republic.
M MalýDepartment of Biostatistics and Informatics,National Institute of Public Health in Prague,Czech Republic.
O BeranDepartment of Infectious and Tropical Diseases, First Faculty of Medicine,Charles University and Hospital Na Bulovce in Prague,Czech Republic.
D JilichDepartment of Infectious and Tropical Diseases, First Faculty of Medicine,Charles University and Hospital Na Bulovce in Prague,Czech Republic.
H RozsypalDepartment of Infectious and Tropical Diseases, First Faculty of Medicine,Charles University and Hospital Na Bulovce in Prague,Czech Republic.
L MachalaDepartment of Infectious Diseases, Third Faculty of Medicine,Charles University and Hospital Na Bulovce in Prague,Czech Republic.
M HolubDepartment of Infectious and Tropical Diseases, First Faculty of Medicine,Charles University and Hospital Na Bulovce in Prague,Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To determine changes in incidence of reactivation of Toxoplasma gondii infection, manifesting as toxoplasmic encephalitis, and to assess the immunological mechanisms controlling reactivation in HIV-infected patients, a Czech cohort of 502 HIV/T. gondii co-infected patients was followed for 2909·3 person-years. The incidence of toxoplasmic encephalitis between the periods before and after the introduction of combination antiretroviral therapy (cART) was compared. Toxoplasmic encephalitis was diagnosed in 21 patients. In those patients the geometric mean value of CD4+ T lymphocytes was 12·6 times lower than in patients with non-reactivated T. gondii infection but an additionally significant decline in CD8+ T lymphocytes (3·3-fold) and natural killer cells (4·3-fold) was observed. This confirms the significance of these parameters. A twelvefold decrease in Toxoplasma reactivation incidence (40·2 vs. 3·4/1000 person-years) between monitored periods was seen. In the cART era, Toxoplasma reactivation was observed only in patients with unrecognized HIV infection or refusing therapy.

Indexed as

AdultCD4 Lymphocyte CountCD8-Positive T-LymphocytesCohort StudiesCzech RepublicFemaleHIV InfectionsHumansIncidenceKiller Cells, NaturalMaleMiddle AgedToxoplasmaToxoplasmosis, CerebralEncephalitisHIV/AIDSimmunologyincidenceToxoplasma gondii

Identifiers

PMID24850323
PMCPMC9507066

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.