Clinical characteristics and incidence of toxoplasmosis after autologous hematopoietic stem cell transplantation: A retrospective study and literature review

Background Toxoplasmosis is a rare but life‐threatening infection occurring in immunocompromised hosts, including allogeneic hematopoietic stem cell transplantation (allo‐HSCT) recipients. However, thus far, the clinical features and incidence of toxoplasmosis in autologous HSCT (auto‐HSCT) recipien...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Transplant infectious disease 2021-12, Vol.23 (6), p.e13726-n/a
Hauptverfasser: Kitahara, Mari, Hiroshima, Yuki, Norose, Kazumi, Hikosaka, Kenji, Kazumoto, Hiroko, Uematsu, Nozomu, Shishido, Tsutomu, Kaiume, Hiroko, Sato, Keijiro, Ueki, Toshimitsu, Sumi, Masahiko, Watanabe, Masahide, Kobayashi, Hikaru
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page n/a
container_issue 6
container_start_page e13726
container_title Transplant infectious disease
container_volume 23
creator Kitahara, Mari
Hiroshima, Yuki
Norose, Kazumi
Hikosaka, Kenji
Kazumoto, Hiroko
Uematsu, Nozomu
Shishido, Tsutomu
Kaiume, Hiroko
Sato, Keijiro
Ueki, Toshimitsu
Sumi, Masahiko
Watanabe, Masahide
Kobayashi, Hikaru
description Background Toxoplasmosis is a rare but life‐threatening infection occurring in immunocompromised hosts, including allogeneic hematopoietic stem cell transplantation (allo‐HSCT) recipients. However, thus far, the clinical features and incidence of toxoplasmosis in autologous HSCT (auto‐HSCT) recipients remain unknown. This retrospective survey aimed to analyze 152 patients who received auto‐HSCT between 1998 and 2017. Methods Serological tests for Toxoplasma gondii‐specific IgG were performed on 109 (71.7%) recipients, and 12 pre‐HSCT recipients (11%) were Toxoplasma seropositive. Among the 12 recipients, three who did not receive trimethoprim‐sulfamethoxazole (TMP/SMX) prophylaxis developed cerebral, pulmonary or disseminated toxoplasmosis due to reactivation after auto‐HSCT and died despite treatment. Results The incidences of toxoplasmosis were 2% and 25% among 152 auto‐HSCT recipients (five recipients received auto‐HSCT two times) and 12 pre‐HSCT Toxoplasma seropositive recipients, respectively. Further, we conducted a literature review and identified 21 cases of toxoplasmosis following auto‐HSCT. In these previous cases, the mortality rate was high, especially for pulmonary and disseminated toxoplasmosis. Our findings suggest that, similar to toxoplasmosis after allo‐HSCT, toxoplasmosis after auto‐HSCT is a fatal complication. Conclusions Serial screening of T. gondii‐specific IgG before HSCT could contribute to the detection of Toxoplasma reactivation and allow for prompt diagnosis and treatment. The present study is the first to reveal the incidence of toxoplasmosis after auto‐HSCT among seropositive patients in Japan.
doi_str_mv 10.1111/tid.13726
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2574736602</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2574736602</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4196-23d50643ec5b2af5bd38b055a6a5ef5c50237fa32e46ed3428b4589c1f8923ac3</originalsourceid><addsrcrecordid>eNp1kc9u1DAQhy0Eou3CgRdAlrjAIa3_J-FWLRQqVeJSzpbjTKgrxw6203YfhnfF3S0ckPDFlvzNNzP6IfSGklNaz1lx4ynlLVPP0DHlfd9wotjz_btrGGv5ETrJ-ZYQ2vaif4mOuJCCMUaO0a-td8FZ47G9McnYAsnl4mzGJozYBetGCBZwnHCJD3HxJs8xu_o9VRSbtUQff8Q14xuYTYlLdFDLcS4wYwve45JMyLUuFFNcDB_xOU5QUswL2OLuoKLruNu38646TVkTVOTOwf0r9GIyPsPrp3uDvl98vt5-ba6-fbncnl81VtBeNYyPkijBwcqBmUkOI-8GIqVRRsIkrSSMt5PhDISCkQvWDUJ2vaVT1zNuLN-g9wfvkuLPFXLRs8uP05sAdTfNZCtarlT1bNC7f9DbuKZQp9NMUaa6vuWiUh8OlK2L5gSTXpKbTdppSvRjZrpmpveZVfbtk3EdZhj_kn9CqsDZAbh3Hnb_N-nry08H5W8bjKR_</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2612689734</pqid></control><display><type>article</type><title>Clinical characteristics and incidence of toxoplasmosis after autologous hematopoietic stem cell transplantation: A retrospective study and literature review</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Kitahara, Mari ; Hiroshima, Yuki ; Norose, Kazumi ; Hikosaka, Kenji ; Kazumoto, Hiroko ; Uematsu, Nozomu ; Shishido, Tsutomu ; Kaiume, Hiroko ; Sato, Keijiro ; Ueki, Toshimitsu ; Sumi, Masahiko ; Watanabe, Masahide ; Kobayashi, Hikaru</creator><creatorcontrib>Kitahara, Mari ; Hiroshima, Yuki ; Norose, Kazumi ; Hikosaka, Kenji ; Kazumoto, Hiroko ; Uematsu, Nozomu ; Shishido, Tsutomu ; Kaiume, Hiroko ; Sato, Keijiro ; Ueki, Toshimitsu ; Sumi, Masahiko ; Watanabe, Masahide ; Kobayashi, Hikaru</creatorcontrib><description>Background Toxoplasmosis is a rare but life‐threatening infection occurring in immunocompromised hosts, including allogeneic hematopoietic stem cell transplantation (allo‐HSCT) recipients. However, thus far, the clinical features and incidence of toxoplasmosis in autologous HSCT (auto‐HSCT) recipients remain unknown. This retrospective survey aimed to analyze 152 patients who received auto‐HSCT between 1998 and 2017. Methods Serological tests for Toxoplasma gondii‐specific IgG were performed on 109 (71.7%) recipients, and 12 pre‐HSCT recipients (11%) were Toxoplasma seropositive. Among the 12 recipients, three who did not receive trimethoprim‐sulfamethoxazole (TMP/SMX) prophylaxis developed cerebral, pulmonary or disseminated toxoplasmosis due to reactivation after auto‐HSCT and died despite treatment. Results The incidences of toxoplasmosis were 2% and 25% among 152 auto‐HSCT recipients (five recipients received auto‐HSCT two times) and 12 pre‐HSCT Toxoplasma seropositive recipients, respectively. Further, we conducted a literature review and identified 21 cases of toxoplasmosis following auto‐HSCT. In these previous cases, the mortality rate was high, especially for pulmonary and disseminated toxoplasmosis. Our findings suggest that, similar to toxoplasmosis after allo‐HSCT, toxoplasmosis after auto‐HSCT is a fatal complication. Conclusions Serial screening of T. gondii‐specific IgG before HSCT could contribute to the detection of Toxoplasma reactivation and allow for prompt diagnosis and treatment. The present study is the first to reveal the incidence of toxoplasmosis after auto‐HSCT among seropositive patients in Japan.</description><identifier>ISSN: 1398-2273</identifier><identifier>EISSN: 1399-3062</identifier><identifier>DOI: 10.1111/tid.13726</identifier><identifier>PMID: 34542220</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>anti‐Toxoplasma gondii‐specific IgG antibody ; Autografts ; autologous hematopoietic stem cell transplantation ; Fatalities ; Hematopoietic Stem Cell Transplantation - adverse effects ; Hematopoietic stem cells ; Humans ; Immunocompromised hosts ; Immunoglobulin G ; Incidence ; infection ; Literature reviews ; Patients ; Prophylaxis ; Protozoa ; Retrospective Studies ; Serological tests ; Stem cell transplantation ; Stem cells ; Sulfamethoxazole ; Toxoplasma ; Toxoplasmosis ; Toxoplasmosis - epidemiology ; Transplantation ; Transplantation, Autologous - adverse effects ; Trimethoprim</subject><ispartof>Transplant infectious disease, 2021-12, Vol.23 (6), p.e13726-n/a</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4196-23d50643ec5b2af5bd38b055a6a5ef5c50237fa32e46ed3428b4589c1f8923ac3</citedby><cites>FETCH-LOGICAL-c4196-23d50643ec5b2af5bd38b055a6a5ef5c50237fa32e46ed3428b4589c1f8923ac3</cites><orcidid>0000-0003-0586-5014</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftid.13726$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftid.13726$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34542220$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kitahara, Mari</creatorcontrib><creatorcontrib>Hiroshima, Yuki</creatorcontrib><creatorcontrib>Norose, Kazumi</creatorcontrib><creatorcontrib>Hikosaka, Kenji</creatorcontrib><creatorcontrib>Kazumoto, Hiroko</creatorcontrib><creatorcontrib>Uematsu, Nozomu</creatorcontrib><creatorcontrib>Shishido, Tsutomu</creatorcontrib><creatorcontrib>Kaiume, Hiroko</creatorcontrib><creatorcontrib>Sato, Keijiro</creatorcontrib><creatorcontrib>Ueki, Toshimitsu</creatorcontrib><creatorcontrib>Sumi, Masahiko</creatorcontrib><creatorcontrib>Watanabe, Masahide</creatorcontrib><creatorcontrib>Kobayashi, Hikaru</creatorcontrib><title>Clinical characteristics and incidence of toxoplasmosis after autologous hematopoietic stem cell transplantation: A retrospective study and literature review</title><title>Transplant infectious disease</title><addtitle>Transpl Infect Dis</addtitle><description>Background Toxoplasmosis is a rare but life‐threatening infection occurring in immunocompromised hosts, including allogeneic hematopoietic stem cell transplantation (allo‐HSCT) recipients. However, thus far, the clinical features and incidence of toxoplasmosis in autologous HSCT (auto‐HSCT) recipients remain unknown. This retrospective survey aimed to analyze 152 patients who received auto‐HSCT between 1998 and 2017. Methods Serological tests for Toxoplasma gondii‐specific IgG were performed on 109 (71.7%) recipients, and 12 pre‐HSCT recipients (11%) were Toxoplasma seropositive. Among the 12 recipients, three who did not receive trimethoprim‐sulfamethoxazole (TMP/SMX) prophylaxis developed cerebral, pulmonary or disseminated toxoplasmosis due to reactivation after auto‐HSCT and died despite treatment. Results The incidences of toxoplasmosis were 2% and 25% among 152 auto‐HSCT recipients (five recipients received auto‐HSCT two times) and 12 pre‐HSCT Toxoplasma seropositive recipients, respectively. Further, we conducted a literature review and identified 21 cases of toxoplasmosis following auto‐HSCT. In these previous cases, the mortality rate was high, especially for pulmonary and disseminated toxoplasmosis. Our findings suggest that, similar to toxoplasmosis after allo‐HSCT, toxoplasmosis after auto‐HSCT is a fatal complication. Conclusions Serial screening of T. gondii‐specific IgG before HSCT could contribute to the detection of Toxoplasma reactivation and allow for prompt diagnosis and treatment. The present study is the first to reveal the incidence of toxoplasmosis after auto‐HSCT among seropositive patients in Japan.</description><subject>anti‐Toxoplasma gondii‐specific IgG antibody</subject><subject>Autografts</subject><subject>autologous hematopoietic stem cell transplantation</subject><subject>Fatalities</subject><subject>Hematopoietic Stem Cell Transplantation - adverse effects</subject><subject>Hematopoietic stem cells</subject><subject>Humans</subject><subject>Immunocompromised hosts</subject><subject>Immunoglobulin G</subject><subject>Incidence</subject><subject>infection</subject><subject>Literature reviews</subject><subject>Patients</subject><subject>Prophylaxis</subject><subject>Protozoa</subject><subject>Retrospective Studies</subject><subject>Serological tests</subject><subject>Stem cell transplantation</subject><subject>Stem cells</subject><subject>Sulfamethoxazole</subject><subject>Toxoplasma</subject><subject>Toxoplasmosis</subject><subject>Toxoplasmosis - epidemiology</subject><subject>Transplantation</subject><subject>Transplantation, Autologous - adverse effects</subject><subject>Trimethoprim</subject><issn>1398-2273</issn><issn>1399-3062</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9u1DAQhy0Eou3CgRdAlrjAIa3_J-FWLRQqVeJSzpbjTKgrxw6203YfhnfF3S0ckPDFlvzNNzP6IfSGklNaz1lx4ynlLVPP0DHlfd9wotjz_btrGGv5ETrJ-ZYQ2vaif4mOuJCCMUaO0a-td8FZ47G9McnYAsnl4mzGJozYBetGCBZwnHCJD3HxJs8xu_o9VRSbtUQff8Q14xuYTYlLdFDLcS4wYwve45JMyLUuFFNcDB_xOU5QUswL2OLuoKLruNu38646TVkTVOTOwf0r9GIyPsPrp3uDvl98vt5-ba6-fbncnl81VtBeNYyPkijBwcqBmUkOI-8GIqVRRsIkrSSMt5PhDISCkQvWDUJ2vaVT1zNuLN-g9wfvkuLPFXLRs8uP05sAdTfNZCtarlT1bNC7f9DbuKZQp9NMUaa6vuWiUh8OlK2L5gSTXpKbTdppSvRjZrpmpveZVfbtk3EdZhj_kn9CqsDZAbh3Hnb_N-nry08H5W8bjKR_</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Kitahara, Mari</creator><creator>Hiroshima, Yuki</creator><creator>Norose, Kazumi</creator><creator>Hikosaka, Kenji</creator><creator>Kazumoto, Hiroko</creator><creator>Uematsu, Nozomu</creator><creator>Shishido, Tsutomu</creator><creator>Kaiume, Hiroko</creator><creator>Sato, Keijiro</creator><creator>Ueki, Toshimitsu</creator><creator>Sumi, Masahiko</creator><creator>Watanabe, Masahide</creator><creator>Kobayashi, Hikaru</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0586-5014</orcidid></search><sort><creationdate>202112</creationdate><title>Clinical characteristics and incidence of toxoplasmosis after autologous hematopoietic stem cell transplantation: A retrospective study and literature review</title><author>Kitahara, Mari ; Hiroshima, Yuki ; Norose, Kazumi ; Hikosaka, Kenji ; Kazumoto, Hiroko ; Uematsu, Nozomu ; Shishido, Tsutomu ; Kaiume, Hiroko ; Sato, Keijiro ; Ueki, Toshimitsu ; Sumi, Masahiko ; Watanabe, Masahide ; Kobayashi, Hikaru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4196-23d50643ec5b2af5bd38b055a6a5ef5c50237fa32e46ed3428b4589c1f8923ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>anti‐Toxoplasma gondii‐specific IgG antibody</topic><topic>Autografts</topic><topic>autologous hematopoietic stem cell transplantation</topic><topic>Fatalities</topic><topic>Hematopoietic Stem Cell Transplantation - adverse effects</topic><topic>Hematopoietic stem cells</topic><topic>Humans</topic><topic>Immunocompromised hosts</topic><topic>Immunoglobulin G</topic><topic>Incidence</topic><topic>infection</topic><topic>Literature reviews</topic><topic>Patients</topic><topic>Prophylaxis</topic><topic>Protozoa</topic><topic>Retrospective Studies</topic><topic>Serological tests</topic><topic>Stem cell transplantation</topic><topic>Stem cells</topic><topic>Sulfamethoxazole</topic><topic>Toxoplasma</topic><topic>Toxoplasmosis</topic><topic>Toxoplasmosis - epidemiology</topic><topic>Transplantation</topic><topic>Transplantation, Autologous - adverse effects</topic><topic>Trimethoprim</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kitahara, Mari</creatorcontrib><creatorcontrib>Hiroshima, Yuki</creatorcontrib><creatorcontrib>Norose, Kazumi</creatorcontrib><creatorcontrib>Hikosaka, Kenji</creatorcontrib><creatorcontrib>Kazumoto, Hiroko</creatorcontrib><creatorcontrib>Uematsu, Nozomu</creatorcontrib><creatorcontrib>Shishido, Tsutomu</creatorcontrib><creatorcontrib>Kaiume, Hiroko</creatorcontrib><creatorcontrib>Sato, Keijiro</creatorcontrib><creatorcontrib>Ueki, Toshimitsu</creatorcontrib><creatorcontrib>Sumi, Masahiko</creatorcontrib><creatorcontrib>Watanabe, Masahide</creatorcontrib><creatorcontrib>Kobayashi, Hikaru</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Transplant infectious disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kitahara, Mari</au><au>Hiroshima, Yuki</au><au>Norose, Kazumi</au><au>Hikosaka, Kenji</au><au>Kazumoto, Hiroko</au><au>Uematsu, Nozomu</au><au>Shishido, Tsutomu</au><au>Kaiume, Hiroko</au><au>Sato, Keijiro</au><au>Ueki, Toshimitsu</au><au>Sumi, Masahiko</au><au>Watanabe, Masahide</au><au>Kobayashi, Hikaru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical characteristics and incidence of toxoplasmosis after autologous hematopoietic stem cell transplantation: A retrospective study and literature review</atitle><jtitle>Transplant infectious disease</jtitle><addtitle>Transpl Infect Dis</addtitle><date>2021-12</date><risdate>2021</risdate><volume>23</volume><issue>6</issue><spage>e13726</spage><epage>n/a</epage><pages>e13726-n/a</pages><issn>1398-2273</issn><eissn>1399-3062</eissn><abstract>Background Toxoplasmosis is a rare but life‐threatening infection occurring in immunocompromised hosts, including allogeneic hematopoietic stem cell transplantation (allo‐HSCT) recipients. However, thus far, the clinical features and incidence of toxoplasmosis in autologous HSCT (auto‐HSCT) recipients remain unknown. This retrospective survey aimed to analyze 152 patients who received auto‐HSCT between 1998 and 2017. Methods Serological tests for Toxoplasma gondii‐specific IgG were performed on 109 (71.7%) recipients, and 12 pre‐HSCT recipients (11%) were Toxoplasma seropositive. Among the 12 recipients, three who did not receive trimethoprim‐sulfamethoxazole (TMP/SMX) prophylaxis developed cerebral, pulmonary or disseminated toxoplasmosis due to reactivation after auto‐HSCT and died despite treatment. Results The incidences of toxoplasmosis were 2% and 25% among 152 auto‐HSCT recipients (five recipients received auto‐HSCT two times) and 12 pre‐HSCT Toxoplasma seropositive recipients, respectively. Further, we conducted a literature review and identified 21 cases of toxoplasmosis following auto‐HSCT. In these previous cases, the mortality rate was high, especially for pulmonary and disseminated toxoplasmosis. Our findings suggest that, similar to toxoplasmosis after allo‐HSCT, toxoplasmosis after auto‐HSCT is a fatal complication. Conclusions Serial screening of T. gondii‐specific IgG before HSCT could contribute to the detection of Toxoplasma reactivation and allow for prompt diagnosis and treatment. The present study is the first to reveal the incidence of toxoplasmosis after auto‐HSCT among seropositive patients in Japan.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34542220</pmid><doi>10.1111/tid.13726</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0586-5014</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1398-2273
ispartof Transplant infectious disease, 2021-12, Vol.23 (6), p.e13726-n/a
issn 1398-2273
1399-3062
language eng
recordid cdi_proquest_miscellaneous_2574736602
source MEDLINE; Access via Wiley Online Library
subjects anti‐Toxoplasma gondii‐specific IgG antibody
Autografts
autologous hematopoietic stem cell transplantation
Fatalities
Hematopoietic Stem Cell Transplantation - adverse effects
Hematopoietic stem cells
Humans
Immunocompromised hosts
Immunoglobulin G
Incidence
infection
Literature reviews
Patients
Prophylaxis
Protozoa
Retrospective Studies
Serological tests
Stem cell transplantation
Stem cells
Sulfamethoxazole
Toxoplasma
Toxoplasmosis
Toxoplasmosis - epidemiology
Transplantation
Transplantation, Autologous - adverse effects
Trimethoprim
title Clinical characteristics and incidence of toxoplasmosis after autologous hematopoietic stem cell transplantation: A retrospective study and literature review
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T07%3A18%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clinical%20characteristics%20and%20incidence%20of%20toxoplasmosis%20after%20autologous%20hematopoietic%20stem%20cell%20transplantation:%20A%20retrospective%20study%20and%20literature%20review&rft.jtitle=Transplant%20infectious%20disease&rft.au=Kitahara,%20Mari&rft.date=2021-12&rft.volume=23&rft.issue=6&rft.spage=e13726&rft.epage=n/a&rft.pages=e13726-n/a&rft.issn=1398-2273&rft.eissn=1399-3062&rft_id=info:doi/10.1111/tid.13726&rft_dat=%3Cproquest_cross%3E2574736602%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2612689734&rft_id=info:pmid/34542220&rfr_iscdi=true