The global status of toxoplasmic myocarditis: A case series and systematic literature review

Mostafa Tork1,2,3, Mitra Sadeghi1,2,3, Bahareh Basirpour1,2,3

  • 1Toxoplasmosis Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.

Idcases
|December 31, 2025
PubMed

Insights

Toxoplasmosis infection can cause myocarditis, a heart condition. This review highlights diagnostic methods like serology and MRI, emphasizing the need for cardiologists to consider toxoplasmosis in myocarditis cases for better patient outcomes.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Parasitology

Background:

  • Toxoplasmosis, caused by *T. gondii*, is a known infection.
  • It can lead to myocarditis, an inflammation of the heart muscle.

Purpose of the Study:

  • To investigate the clinical presentation of myocarditis due to toxoplasmosis.
  • To identify diagnostic methods for toxoplasmic myocarditis.
  • To explore potential treatment approaches for this condition.

Main Methods:

  • A systematic review was conducted following PRISMA guidelines.
  • Searches were performed across major databases.
  • 21 relevant studies were included after data analysis.

Main Results:

  • 24 cases of toxoplasmic myocarditis were analyzed.
  • The average age of affected individuals was 37.3 years, with 75% males.
  • Serology and MRI are key for diagnosis; autopsy/staining confirmed cases in deceased patients.

Conclusions:

  • Toxoplasmosis is a significant potential cause of myocarditis.
  • Cardiologists must consider toxoplasmosis in myocarditis evaluations.
  • Timely diagnosis and treatment improve patient outcomes.
Abstract

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