Evidence map›Paper›PMID 25762774›Full record

ArticleJournal of clinical microbiology2015

Molecular diagnosis of toxoplasmosis in immunocompromised patients: a 3-year multicenter retrospective study.

Florence Robert-Gangneux, Yvon Sterkers, Hélène Yera, Isabelle Accoceberry, Jean Menotti, Sophie Cassaing, Marie-Pierre Brenier-Pinchart, Christophe Hennequin, Laurence Delhaes, Julie Bonhomme and 8 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of clinical microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Anti-Microorganisms · 2022
    Review
  9. Review
  10. Cerebral toxoplasmosis associated with the use of immunosuppressive treatments.Revista da Sociedade Brasileira de Medicina Tropical · 2022
    Article
  11. Pediatric investigation · 2021
    Article
  12. Morphological and biochemical repercussions ofBrain, behavior, & immunity - health · 2021
    Article
  13. Case Report: Immune Dysregulation Due toFrontiers in pediatrics · 2021
    Article
  14. Toxoplasmosis, cryptosporidiosis, and isosporiasis in HIV-negative immunocompromised patients: A single-centre study, Ottawa, Ontario, Canada.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2020
    Article
  15. Article
  16. Pathogens (Basel, Switzerland) · 2020
    Article
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  20. 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

18 authors at 13 institutions in 1 country.

Florence Robert-GangneuxCentre Hospitalier Universitaire de Rennes, Université Rennes 1, Service de Parasitologie-Mycologie, Rennes, France Pôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France florence.robert-gangneux@univ-rennes1.fr.
Yvon SterkersPôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Centre Hospitalier Universitaire de Montpellier, Département de Parasitologie-Mycologie, UMR CNRS 5290, IRD 224, UM ("MiVEGEC"), Montpellier, France.
Hélène YeraPôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Université Paris Descartes, Assistance Publique Hôpitaux de Paris, Hôpital Cochin, Service de Parasitologie-Mycologie, Paris, France.
Isabelle AccoceberryCentre Hospitalier Universitaire de Bordeaux, Service de Parasitologie-Mycologie, Bordeaux, France.
Jean MenottiPôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Université Paris Diderot, Assistance Publique Hôpitaux de Paris, Hôpital Saint-Louis, Service de Parasitologie-Mycologie, Paris, France.
Sophie CassaingPôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Centre Hospitalier Universitaire de Toulouse, Service de Parasitologie-Mycologie, Toulouse, France.
Marie-Pierre Brenier-PinchartPôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Centre Hospitalier Universitaire de Grenoble, Service de Parasitologie-Mycologie, Université Joseph Fourier, Grenoble, France.
Christophe HennequinHôpital Saint-Antoine, Service de Parasitologie-Mycologie, Paris, France.
Laurence DelhaesPôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Centre Hospitalier Universitaire de Lille, Service de Parasitologie-Mycologie, Lille, France.
Julie BonhommeCentre Hospitalier Universitaire de Caen, Service de Microbiologie, Caen, France.
Isabelle VillenaCentre Hospitalier Universitaire de Reims, Service de Parasitologie-Mycologie, Reims, France.
Emeline SchererCentre Hospitalier Universitaire de Besançon, Service de Parasitologie-Mycologie, Besançon, France.
Frédéric DallePôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Centre Hospitalier Universitaire de Dijon, Service de Parasitologie-Mycologie, Université de Bourgogne, UMR 1347 Agroécologie, Dijon, France.
Feriel TouafekPôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Hôpital Pitié Salpêtrière, Service de Parasitologie-Mycologie, Paris, France.
Denis FilisettiPôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Centre Hospitalier Universitaire de Strasbourg, Service de Parasitologie-Mycologie Médicale, Les Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.
Emmanuelle Varlet-MariePôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Centre Hospitalier Universitaire de Montpellier, Département de Parasitologie-Mycologie, UMR CNRS 5290, IRD 224, UM ("MiVEGEC"), Montpellier, France.
Hervé PellouxPôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Centre Hospitalier Universitaire de Grenoble, Service de Parasitologie-Mycologie, Université Joseph Fourier, Grenoble, France.
Patrick BastienPôle "Biologie Moléculaire" du Centre National de Référence de la Toxoplasmose, Montpellier, France Centre Hospitalier Universitaire de Montpellier, Département de Parasitologie-Mycologie, UMR CNRS 5290, IRD 224, UM ("MiVEGEC"), Montpellier, France.
Centre National de la Recherche Scientifique · FRSorbonne Université · FRUniversité Joseph Fourier · FRUniversité Paris Cité · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Caen Normandie · FRCentre Hospitalier Universitaire de Lille · FRCentre Hospitalier Universitaire de Reims · FRCentre Hospitalier Universitaire de Rennes · FRCentre Hospitalier Universitaire de Toulouse · FRHôpitaux Universitaires de Strasbourg · FRUniversité de Bourgogne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Toxoplasmosis is a life-threatening infection in immunocompromised patients (ICPs). The definitive diagnosis relies on parasite DNA detection, but little is known about the incidence and burden of disease in HIV-negative patients. A 3-year retrospective study was conducted in 15 reference laboratories from the network of the French National Reference Center for Toxoplasmosis, in order to record the frequency of Toxoplasma gondii DNA detection in ICPs and to review the molecular methods used for diagnosis and the prevention measures implemented in transplant patients. During the study period, of 31,640 PCRs performed on samples from ICPs, 610 were positive (323 patients). Blood (n = 337 samples), cerebrospinal fluid (n = 101 samples), and aqueous humor (n = 100 samples) were more frequently positive. Chemoprophylaxis schemes in transplant patients differed between centers. PCR follow-up of allogeneic hematopoietic stem cell transplant (allo-HSCT) patients was implemented in 8/15 centers. Data from 180 patients (13 centers) were further analyzed regarding clinical setting and outcome. Only 68/180 (38%) patients were HIV(+); the remaining 62% consisted of 72 HSCT, 14 solid organ transplant, and 26 miscellaneous immunodeficiency patients. Cerebral toxoplasmosis and disseminated toxoplasmosis were most frequently observed in HIV and transplant patients, respectively. Of 72 allo-HSCT patients with a positive PCR result, 23 were asymptomatic; all were diagnosed in centers performing systematic blood PCR follow-up, and they received specific treatment. Overall survival of allo-HSCT patients at 2 months was better in centers with PCR follow-up than in other centers (P < 0.01). This study provides updated data on the frequency of toxoplasmosis in HIV-negative ICPs and suggests that regular PCR follow-up of allo-HSCT patients could guide preemptive treatment and improve outcome.

Indexed as

Immunocompromised HostMicrobiological TechniquesMolecular Diagnostic TechniquesPolymerase Chain ReactionFranceHumansPrevalenceRetrospective StudiesSurvival AnalysisToxoplasmaToxoplasmosis

Identifiers

PMID25762774
PMCPMC4400795
OpenAlexW2130398739

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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.