Evidence map›Paper›PMID 42516877›Full record

ReviewFrontiers in epidemiology2026

Clinical review of Toscana virus: a Mediterranean Neuroinvasive Phlebovirus.

Ahmad Makky, Parham Elahi, Hadi Awali

Abstract readReview
In one paragraph

Review in Frontiers in epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Ahmad MakkyDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Parham ElahiUniversità di Parma, Parma, Italy.
Hadi AwaliUniversity of Detroit Mercy, Detroit, MI, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Toscana virus (TOSV) is a sandfly-transmitted phlebovirus of the family Phenuiviridae and a leading cause of summer meningitis and meningoencephalitis in the Mediterranean basin. It was first isolated in 1971 from Phlebotomus perniciosus in central Italy and circulates wherever its principal vectors are established. Seroprevalence surveys show that population exposure is common, whereas overt disease is comparatively infrequent. Among patients who become symptomatic, most present with neuroinvasive illness, which separates TOSV from related sandfly-borne phleboviruses that cause undifferentiated febrile disease. This review covers virology, pathogenesis, epidemiology, vector biology, clinical features, diagnosis, and management of TOSV infection, and it keeps a clear separation between established clinical knowledge and experimental research. The practical message has not changed in a decade: management is supportive, no licensed antiviral or vaccine exists, and the agents that attract research interest, including repurposed nucleoside analogues, venom-derived peptides, RNA-interference strategies, and candidate vaccines, remain preclinical. Given warmer Mediterranean summers and a documented rise in recognised cases, the most useful priorities are better clinician awareness, wider access to TOSV-specific molecular testing, and integrated human and entomological surveillance.

Indexed as

epidemiologyinfectious diseasesphlebovirusToscana virusTOSV

Identifiers

PMID42516877
PMCPMC13402448

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.