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. 2022 Aug 8;16(8):e0010691. doi: 10.1371/journal.pntd.0010691

Table 2. Characteristics of Toxoplasma disease.

Presentation of patients Current study Literature Total
  N = 25 N = 36 N = 61
Median age (extremes) 57 (29–79) 47 (18–86) 53 (18–86)
Sex ratio (F/M) 1.8 3 2.27
Clinical characteristics N (%)      
Neurological symptoms 7 (28) 22 (61.1) 29 (47.5)
Motor deficit/palsy/hemiparesis 2 16 18
Seizure 2 6 8
Speech disturbance 0 9 7
Cognitive impairment 3 3 6
Brain abscess 4 1 5
Behavioral changes 0 2 2
Ocular symptoms 14 (56) 10 (27.8) 24 (39.3)
Decreased vision 12 10 22
Retinochoroiditis 6 7 13
Uveitis/vitritis 8 3 11
Necrotizing retinitis 0 4 4
Floaters 1 2 3
General symptoms 8 (32) 14 (38.9) 22 (36)
Fever 6 13 19
Headache 0 7 7
Asthenia 2 2 4
Lymph nodes/Splenomegaly 1 1 2
Pulmonary symptoms 3 (12) 3 (8.3) 6 (9.8)
Dermatological signs 2 (8) 2 (5.5) 4 (6.5)
Join synovitis 0 (0) 1 (2.8) 1 (1.6)
Toxoplasmosis clinical form N (%)      
Cerebral 7 (28) 23 (63.9) 30 (49.2)
Ocular 11 (44) 8 (22.2) 19 (31.1)
Disseminated 4 (16) 4 (11.1) 8 (13.1)
Pauci-symptomatic 3 (12) 1 (2.8) 4 (6.6)
Toxoplasmosis classification N (%)      
Definite 22 (88) 26 (72.2) 48 (78.7)
Probable 3 (12) 10 (27.8) 13 (21.3)
Toxoplasmosis type of infection N (%)      
Reactivation 12 (48) 19 (52.8) 31 (50.9)
Primary infection 10 (40) 11 (30.5) 21 (34.5)
Not determinate 3 (12) 6 (16.7) 9 (14.6)
Diagnostic methods      
Serological test + PCR + medical imaging 12 (48) 7 (19.4) 19 (31.1)
Serological test + medical imaging 1 (4) 8 (22.2) 9 (14.7)
Serological test + histology + medical imaging 0 (0) 7 (19.4) 7 (11.5)
Serological test + PCR 5 (20) 0 (0) 5 (8.2)
PCR + medical imaging 3 (12) 2 (5.6) 5 (8.2)
Serological test + PCR + histology + medical imaging 1 (4) 3 (8.3) 4 (6.6)
Histology + medical imaging 0 (0) 4 (11.1) 4 (6.6)
Serological test 2 (8) 1 (2.8) 3 (4.9)
Serological test + histology 0 (0) 2 (5.6) 2 (3.3)
PCR + histology + medical imaging 1 (4) 1 (2.8) 2 (3.3)
Serological test + culture + PCR 0 (0) 1 (2.8) 1 (1.6)
Treatment N(%)      
Pyrimethamine-Sulfadiazine 10 (40) 16 (44.5) 26 (42.6)
Sulfamethoxazole-Trimethoprim 0 (0) 9 (25) 9 (14.8)
No treatment 3 (12) 5 (13.9) 8 (13.1)
Pyrimethamine-Azithromycin 7 (28) 0 (0) 7 (11.5)
Pyrimethamine-Clindamycin 1 (4) 3 (8.3) 4 (6.6)
Pyrimethamine 0 (0) 3 (8.3) 3 (4.9)
Not specified 2 (8) 0 (0) 2 (3.3)
Pyrimethamine-Sulfadiazine-Azithromycin 1 (4) 0 (0) 1 (1.6)
Azithromycin 1 (4) 0 (0) 1 (1.6)
Outcome N(%)      
Recovery 9 (36) 22 (61.1) 31 (50.8)
Partial recovery 9 (36) 4 (11.1) 13 (21.3)
Died 2 (8) 7 (19.5) 9 (14.8)
Not specified 5 (20) 3 (8.3) 8 (13.1)