Evidence map›Paper›PMID 35939518›Full record

SynthesisPLoS neglected tropical diseases2022

Toxoplasmosis in patients with an autoimmune disease and immunosuppressive agents: A multicenter study and literature review.

Marie-Fleur Durieux, Jean-Guillaume Lopez, Maher Banjari, Karine Passebosc-Faure, Marie-Pierre Brenier-Pinchart, Luc Paris, Gilles Gargala, Sabine Berthier, Julie Bonhomme, Cathy Chemla and 15 more

Abstract readSystematic Review
In one paragraph

Synthesis in PLoS neglected tropical diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Organization of Myosin H in the Apical Complex ofbioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Parasitology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. 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

25 authors.

Marie-Fleur DurieuxDepartment of parasitology and mycology, Dupuytren University Hospital, National Reference Center of Toxoplasmosis, Limoges Cedex, France.ORCID 0000-0003-0784-9608
Jean-Guillaume LopezDepartment of internal medicine, Dupuytren University Hospital, Limoges Cedex, France.
Maher BanjariDepartment of internal medicine faculty of medicine -Rabigh Campus- King Abdulaziz University, Jeddah, Saudi Arabia.
Karine Passebosc-FaureDepartment of parasitology and mycology, Dupuytren University Hospital, National Reference Center of Toxoplasmosis, Limoges Cedex, France.
Marie-Pierre Brenier-PinchartUniversity Grenoble Alpes, CHU Grenoble Alpes, Parasitology-Mycology laboratory, Grenoble, France.
Luc ParisParasitology laboratory, AP-HP Pitié-Salpêtrière, Paris, France.
Gilles GargalaParasitology laboratory, University hospital of Rouen, Rouen, France.
Sabine BerthierDepartment of internal medicine, University hospital of Dijon, Dijon, France.
Julie BonhommeMicrobiology laboratory, University hospital of Caen, Caen, France.
Cathy ChemlaParasitology Laboratory, EA 7510, Reims Champagne Ardenne University, National Reference Centre on Toxoplasmosis CHU Reims, Reims, France.
Isabelle VillenaParasitology Laboratory, EA 7510, Reims Champagne Ardenne University, National Reference Centre on Toxoplasmosis CHU Reims, Reims, France.
Pierre FloriParasitology laboratory, Hospital of Saint-Étienne, Saint-Étienne, France.
Emilie FréalleParasitology laboratory, University hospital of Lille, Lille, France.
Coralie L'OllivierAix Marseille Univ, IRD, AP-HM, SSA, Vitrome, Marseille, France.
Florian Lussac-SortonParasitology laboratory, University hospital of Bordeaux, Bordeaux, France.
José Gilberto MontoyaDr. Jack S. Remington Laboratory for Specialty Diagnostics, Palo Alto, California, United States of America.
Estelle CateauParasitology laboratory, University hospital of Poitiers, Poitiers, France.
Christelle PomaresParasitology-Mycology laboratory, Côte d'Azur University, INSERM 1065, University hospital of Nice, Nice, France.
Loïc SimonParasitology-Mycology laboratory, Côte d'Azur University, INSERM 1065, University hospital of Nice, Nice, France.
Dorothée QuinioParasitology laboratory, University hospital of Brest, Brest, France.
Florence Robert-GangneuxParasitology laboratory, Univ Rennes, CHU Rennes, France.
Hélène YeraParasitology laboratory, AP-HP Cochin, Paris, France.
Marc LabriffePharmacology & Transplantation, INSERM U1248, Université de Limoges, Limoges, France.
Anne-Laure FauchaisDepartment of internal medicine, Dupuytren University Hospital, Limoges Cedex, France.
Marie-Laure DardéDepartment of parasitology and mycology, Dupuytren University Hospital, National Reference Center of Toxoplasmosis, Limoges Cedex, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCases of Toxoplasma reactivation or more severe primary infection have been reported in patients receiving immunosuppressive (IS) treatment for autoimmune diseases (AID). The purpose of this study was to describe features of toxoplasmosis occurring in patients with AID treated by IS therapy, excluded HIV-positive and transplant patients.

methodsA multicenter descriptive study was conducted using data from the French National Reference Center for Toxoplasmosis (NRCT) that received DNA extracts or strains isolated from patients, associated with clinical data. Other cases were retrieved through a questionnaire sent to all French parasitology and internal medicine departments. Furthermore, a systematic literature review was conducted.

results61 cases were collected: 25 retrieved by the NRCT and by a call for observations and 36 from a literature review. Half of the cases were attributed to reactivation (50.9%), and most of cases (49.2%) were cerebral toxoplasmosis. The most common associated AID were rheumatoid arthritis (28%) and most frequent treatments were antimetabolites (44.3%). Corticosteroids were involved in 60.7% of cases. Patients had a favorable outcome (50.8%) but nine did not survive. For 12 cases, a successful Toxoplasma strain characterization suggested the possible role of this parasitic factor in ocular cases.

conclusionAlthough this remains a rare condition, clinicians should be aware for the management of patients and for the choice of IS treatment.

Indexed as

Autoimmune DiseasesToxoplasmaToxoplasmosis, CerebralAdrenal Cortex HormonesHumansImmunosuppressive AgentsMulticenter Studies as TopicAdrenal Cortex HormonesImmunosuppressive Agents

Identifiers

PMID35939518
PMCPMC9387931

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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.