Evidence map›Paper›PMID 26354818›Full record

ArticleJournal of clinical microbiology2015

Significance of a Positive Toxoplasma Immunoglobulin M Test Result in the United States.

Reshika Dhakal, Kiran Gajurel, Christelle Pomares, Jeanne Talucod, Cynthia J Press, Jose G Montoya

Open access · bronzeAbstract read
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 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
7.5field-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

44 citing papers in PubMed, 94 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Review
  8. Article
  9. Zoonotic infections of the Canadian Arctic.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Review
  10. Article
  11. Detection ofAnimals : an open access journal from MDPI · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Seroprevalence ofPeerJ · 2022
    Article
  16. Article
  17. Application ofFrontiers in cellular and infection microbiology · 2022
    Article
  18. Article
  19. Descriptive Comparison of ELISAs for the Detection ofPathogens (Basel, Switzerland) · 2021
    Review
  20. Toxoplasmosis Outbreak Associated With Toxoplasma gondii-Contaminated Venison-High Attack Rate, Unusual Clinical Presentation, and Atypical Genotype.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
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

6 authors at 3 institutions in 2 countries.

Reshika DhakalPalo Alto Medical Foundation Toxoplasma Serology Laboratory, National Reference Center for the Study and Diagnosis of Toxoplasmosis, Palo Alto, California, USA rdhakal200@yahoo.com gilberto@stanford.edu.
Kiran GajurelStanford University, Division of Infectious Diseases, Stanford, California, USA.
Christelle PomaresPalo Alto Medical Foundation Toxoplasma Serology Laboratory, National Reference Center for the Study and Diagnosis of Toxoplasmosis, Palo Alto, California, USA Stanford University, Division of Infectious Diseases, Stanford, California, USA Centre Méditerranéen de Médecine Moléculaire, Toxines Microbiennes dans la Relation Hôte-Pathogènes, Nice, France Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nice, Nice, France.
Jeanne TalucodPalo Alto Medical Foundation Toxoplasma Serology Laboratory, National Reference Center for the Study and Diagnosis of Toxoplasmosis, Palo Alto, California, USA.
Cynthia J PressPalo Alto Medical Foundation Toxoplasma Serology Laboratory, National Reference Center for the Study and Diagnosis of Toxoplasmosis, Palo Alto, California, USA.
Jose G MontoyaPalo Alto Medical Foundation Toxoplasma Serology Laboratory, National Reference Center for the Study and Diagnosis of Toxoplasmosis, Palo Alto, California, USA Stanford University, Division of Infectious Diseases, Stanford, California, USA rdhakal200@yahoo.com gilberto@stanford.edu.
Centre Méditerranéen de Médecine Moléculaire · FRPalo Alto Medical Foundation · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A positive Toxoplasma immunoglobulin M (IgM) result is often interpreted as a marker of an acute infection. However, IgM can persist for several years, and Toxoplasma commercial IgM diagnostic test kits can yield a number of false-positive results. For these reasons, a chronic Toxoplasma infection can be erroneously classified as an acute infection, resulting in serious adverse consequences, especially in pregnant women, leading to emotional distress and unnecessary interventions, including termination of pregnancy. Interpretation of Toxoplasma serology at a reference laboratory can help differentiate a recently acquired infection from a chronic infection. Serological test results for 451 patients with positive Toxoplasma IgM and IgG test results obtained at nonreference laboratories (NRLs) that were referred to Palo Alto Medical Foundation Toxoplasma Serology Laboratory (PAMF-TSL) to determine whether the patient was acutely or chronically infected were retrospectively reviewed. PAMF-TSL results established that of the 451 patients, 335 (74%) had a chronic infection, 100 (22%) had an acute infection, and 7 (2%) were not infected, and for 9 (2%), results were indeterminate. Positive Toxoplasma IgM and IgG test results obtained at NRLs cannot accurately distinguish between acute and chronic infections. To do so, testing at reference laboratories is required, as mandated in 1997 in a letter from the Food and Drug Administration (FDA) to clinicians and laboratories in the United States.

Indexed as

Acute DiseaseAdolescentAdultAgedAntibodies, ProtozoanChildChild, PreschoolChronic DiseaseFalse Positive ReactionsFemaleHumansImmunoglobulin GImmunoglobulin MMaleMiddle AgedPregnancyAntibodies, ProtozoanImmunoglobulin GImmunoglobulin M

Identifiers

PMID26354818
PMCPMC4609698
OpenAlexW1840163977

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.