The global status of toxoplasmic myocarditis: A case series and systematic literature review
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Updated: Jan 7, 2026

3-D Imaging and Analysis of Neurons Infected In Vivo with Toxoplasma gondii
Published on: December 9, 2014
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.
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.
Introduction:
Toxoplasmosis, an infection caused by the parasite T. gondii, can lead to myocarditis, a condition characterized by inflammation of the heart muscle. The purpose of this study is to provide insights into its clinical presentation, diagnostic methods, and potential treatment approaches for myocarditis due to toxoplasmosis infection.
Methods:
In this systematic review, the searches were conducted across on main databases and followed the PRISMA guidelines to compile relevant studies. After eliminating duplicate entries and carefully assessing inclusion and exclusion criteria, we included 21 studies in our review. Subsequently, we analyzed the collected data.
Results:
Twenty one articles were analyzed, covering a total of 24 cases of toxoplasmic myocarditis. Among the patients, 75 % (18 cases) were male, while 25 % (6 cases) were female. The average age of those examined was 37.3 years. The findings indicated that serology and MRI tests play a crucial role in the definitive diagnosis of toxoplasmic myocarditis. However, in cases of deceased patients, confirmation was obtained through autopsy and tissue staining.
Conclusion:
The findings from this research highlight the significance of toxoplasmosis as a potential contributor to development of myocarditis, a condition to which cardiologists should pay attention. Diligent healthcare professionals, equipped with continuous monitoring and access to suitable therapeutic interventions, play a crucial role in assisting patients with myocarditis. By including toxoplasmosis as a myocarditis risk factors, cardiologists can ensure timely diagnosis, and providing appropriate treatment, which can impact on patient outcomes.
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