Evidence map›Paper›PMID 25695802›Full record

SynthesisPLoS neglected tropical diseases2015

Toxoplasmosis and epilepsy--systematic review and meta analysis.

Edgard B Ngoungou, Devender Bhalla, Amandine Nzoghe, Marie-Laure Dardé, Pierre-Marie Preux

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PLoS neglected tropical diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 7 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

55 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pathogens and global health · 2020
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Is Toxoplasma Gondii Infection a Risk Factor for Leukemia? An Evidence-Based Meta-Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2016
    Pooled it
  8. Article
  9. Article
  10. Transboundary and emerging diseases · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Global seroprevalence ofHealth science reports · 2023
    Article
  16. Inhibition ofJournal of enzyme inhibition and medicinal chemistry · 2022
    Article
  17. Review
  18. Review
  19. Review
  20. Epigenetic Manipulation of Psychiatric Behavioral Disorders Induced byFrontiers in cellular and infection microbiology · 2022
    Review
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

5 authors.

Edgard B NgoungouINSERM, UMR1094, Neuroépidémiologie Tropicale, Limoges, France; Université de Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Neuroepidemiology and Tropical Neurology, CNRS FR 3503 GEIST, Limoges, France; Département d'Epidémiologie-Biostatistiques et Informatique Médicale (DEBIM/EA NEMIT), Faculté de Médecine, Université des Sciences de la Santé, Libreville, Gabon.
Devender BhallaINSERM, UMR1094, Neuroépidémiologie Tropicale, Limoges, France; Université de Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Neuroepidemiology and Tropical Neurology, CNRS FR 3503 GEIST, Limoges, France.
Amandine NzogheDépartement d'Epidémiologie-Biostatistiques et Informatique Médicale (DEBIM/EA NEMIT), Faculté de Médecine, Université des Sciences de la Santé, Libreville, Gabon.
Marie-Laure DardéINSERM, UMR1094, Neuroépidémiologie Tropicale, Limoges, France; Université de Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Neuroepidemiology and Tropical Neurology, CNRS FR 3503 GEIST, Limoges, France; CHU Limoges, Laboratoire de Parasitologie-Mycologie, Limoges, France.
Pierre-Marie PreuxINSERM, UMR1094, Neuroépidémiologie Tropicale, Limoges, France; Université de Limoges, UMR 1094, Tropical Neuroepidemiology, Institute of Neuroepidemiology and Tropical Neurology, CNRS FR 3503 GEIST, Limoges, France; CHU Limoges, CEBIMER, Limoges, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToxoplasmosis is an important, widespread, parasitic infection caused by Toxoplasma gondii. The chronic infection in immunocompetent patients, usually considered as asymptomatic, is now suspected to be a risk factor for various neurological disorders, including epilepsy. We aimed to conduct a systematic review and meta-analysis of the available literature to estimate the risk of epilepsy due to toxoplasmosis.

methodsA systematic literature search was conducted of several databases and journals to identify studies published in English or French, without date restriction, which looked at toxoplasmosis (as exposure) and epilepsy (as disease) and met certain other inclusion criteria. The search was based on keywords and suitable combinations in English and French. Fixed and random effects models were used to determine odds ratios, and statistical significance was set at 5.0%. PRINCIPAL

findingsSix studies were identified, with an estimated total of 2888 subjects, of whom 1280 had epilepsy (477 positive for toxoplasmosis) and 1608 did not (503 positive for toxoplasmosis). The common odds ratio (calculated) by random effects model was 2.25 (95% CI 1.27-3.9), p = 0.005.

conclusionsDespite the limited number of studies, and a lack of high-quality data, toxoplasmosis should continue to be regarded as an epilepsy risk factor. More and better studies are needed to determine the real impact of this parasite on the occurrence of epilepsy.

Indexed as

Chronic DiseaseEpilepsyHumansMiddle AgedOdds RatioRisk FactorsToxoplasmaToxoplasmosis

Identifiers

PMID25695802
PMCPMC4335039

What OpenQuestion holds

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Registered trials

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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.