Evidence map›Paper›PMID 27355620›Full record

ArticlePLoS neglected tropical diseases2016

Performance Testing of PCR Assay in Blood Samples for the Diagnosis of Toxoplasmic Encephalitis in AIDS Patients from the French Departments of America and Genetic Diversity of Toxoplasma gondii: A Prospective and Multicentric Study.

Daniel Ajzenberg, Isabelle Lamaury, Magalie Demar, Cyrille Vautrin, André Cabié, Stéphane Simon, Muriel Nicolas, Nicole Desbois-Nogard, Rachida Boukhari, Homayoun Riahi and 6 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in PLoS neglected tropical diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00803621 (Cerebral Toxoplasmosis and AIDS in the French Departments of America), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.6field-weighted citation impact, top 5% 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.

NCT00803621 completednot on this map

Cerebral Toxoplasmosis and AIDS in the French Departments of America (DFA). Diagnostic Contribution of a PCR Assay and Genetic Diversity of Toxoplasma Gondii.

TypeobservationalSponsorUniversity Hospital, LimogesRan2009 to 2013Enrolled46ConditionsCerebral Toxoplasmosis, AIDSArmsToxoplasma PCR assay
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
  2. Observational
  3. Exposure of Wild Ruminants toVeterinary sciences · 2025
    Article
  4. Article
  5. Molecular diagnosis of human toxoplasmosis: the state of the art.Journal of parasitic diseases : official organ of the Indian Society for Parasitology · 2024
    Review
  6. Article
  7. Exposure of Urban European Hedgehogs (Animals : an open access journal from MDPI · 2024
    Article
  8. Review
  9. First detection ofFrontiers in cellular and infection microbiology · 2024
    Article
  10. Article
  11. Lack of Detection ofPathogens (Basel, Switzerland) · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Approach to an Intracranial Mass in Patients With HIV.Current neurology and neuroscience reports · 2020
    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

16 authors at 9 institutions in 5 countries.

Daniel AjzenbergINSERM, UMR_S 1094, Neuroépidémiologie Tropicale, Université de Limoges; Laboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Limoges, Limoges, France.
Isabelle LamauryService de Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Pointe-à-Pitre, Pointe-à-Pitre, Guadeloupe, France.
Magalie DemarEquipe EA3593-Ecosystemes Amazoniens et Pathologie Tropicale, Université de la Guyane, Guyane française, Cayenne, France; Laboratoire de Parasitologie-Mycologie, Centre hospitalier de Cayenne, Cayenne, Guyane française, France.
Cyrille VautrinService de Médecine, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent du Maroni, Guyane française, France.
André CabiéINSERM CIC1425, Centre Hospitalier Universitaire de Martinique, Fort de France, Martinique, France.
Stéphane SimonEquipe EA3593-Ecosystemes Amazoniens et Pathologie Tropicale, Université de la Guyane, Guyane française, Cayenne, France; Laboratoire de Parasitologie-Mycologie, Centre hospitalier de Cayenne, Cayenne, Guyane française, France.
Muriel NicolasLaboratoire de Microbiologie, Centre Hospitalier Universitaire de Pointe-à-Pitre, Pointe-à-Pitre, Guadeloupe, France.
Nicole Desbois-NogardLaboratoire de Parasitologie-Mycologie-Immunologie, Centre Hospitalier Universitaire de Martinique, Fort de France, Martinique, France.
Rachida BoukhariService de Biologie Médicale, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent du Maroni, Guyane française, France.
Homayoun RiahiLaboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Limoges, Limoges, France.
Marie-Laure DardéINSERM, UMR_S 1094, Neuroépidémiologie Tropicale, Université de Limoges; Laboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Limoges, Limoges, France.
Patrice MassipService des Maladies Infectieuses et Tropicales, Hôpital Purpan, Centre hospitalier universitaire de Toulouse, Toulouse, France.
Michel DuponService des Maladies Infectieuses et Tropicales, Hôpital Pellegrin, Centre hospitalier universitaire de Bordeaux, Bordeaux, France.
Pierre-Marie PreuxINSERM, UMR_S 1094, Neuroépidémiologie Tropicale, Université de Limoges; Centre d'Epidémiologie de Biostatistique et de Méthodologie de la Recherche (CEBIMER), Centre Hospitalier Universitaire de Limoges, Limoges, France.
Anaïs LabrunieINSERM, UMR_S 1094, Neuroépidémiologie Tropicale, Université de Limoges; Centre d'Epidémiologie de Biostatistique et de Méthodologie de la Recherche (CEBIMER), Centre Hospitalier Universitaire de Limoges, Limoges, France.
Marie-Paule BoncoeurINSERM, UMR_S 1094, Neuroépidémiologie Tropicale, Université de Limoges; Service de Neuroradiologie, Centre Hospitalier Universitaire de Limoges, Limoges, France.
Université de Limoges · FRAmazon (United States) · USCentre Hospitalier Universitaire de Martinique · MQCentre Hospitalier Universitaire Pointe-à-Pitre · GPCentre d'Immunologie et des Maladies Infectieuses · FRCentre Hospitalier d'Angoulême · FRCentre Hospitalier Universitaire de Limoges · FRCentre Hospitalier Universitaire de Toulouse · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToxoplasmic encephalitis in patients with AIDS is a life-threatening disease mostly due to reactivation of Toxoplasma gondii cysts in the brain. The main objective of this study was to evaluate the performance of real-time PCR assay in peripheral blood samples for the diagnosis of toxoplasmic encephalitis in AIDS patients in the French West Indies and Guiana. METHODOLOGY/PRINCIPAL

findingsAdult patients with HIV and suspicion of toxoplasmic encephalitis with start of specific antitoxoplasmic therapy were included in this study during 40 months. The real-time PCR assay targeting the 529 bp repeat region of T. gondii was performed in two different centers for all blood samples. A Neighbor-Joining tree was reconstructed from microsatellite data to examine the relationships between strains from human cases of toxoplasmosis in South America and the Caribbean. A total of 44 cases were validated by a committee of experts, including 36 cases with toxoplasmic encephalitis. The specificity of the PCR assay in blood samples was 100% but the sensitivity was only 25% with moderate agreement between the two centers. Altered level of consciousness and being born in the French West Indies and Guiana were the only two variables that were associated with significantly decreased risk of false negative results with the PCR assay. CONCLUSION/SIGNIFICANCE: Our results showed that PCR sensitivity in blood samples increased with severity of toxoplasmic encephalitis in AIDS patients. Geographic origin of patients was likely to influence PCR sensitivity but there was little evidence that it was caused by differences in T. gondii strains.

trial registrationClinicalTrials.gov NCT00803621.

Indexed as

Genetic VariationAcquired Immunodeficiency SyndromeAdultCluster AnalysisFemaleFrench GuianaGenotypeHumansMaleMicrosatellite RepeatsMiddle AgedPolymerase Chain ReactionProspective StudiesSensitivity and SpecificityToxoplasmaToxoplasmosis, Cerebral

Identifiers

PMID27355620
PMCPMC4927177
OpenAlexW2470505015

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.