Table 1.
Patients (n = 1072) | |
---|---|
Age, years | 45 [0.2–92] |
Gender Male Female |
735 (68.6) 337 (31.4) |
Aetiological agent Aspergillus Blastomyces Candida Coccidioides Cryptococcus Fusarium Histoplasma Mucormycosis Paracoccidioides Phaeohyphomycosis Scedosporium Other |
284 (26.5) 47 (4.4) 222 (20.7) 60 (5.6) 93 (8.7) 21 (1.9) 14 (1.3) 180 (16.8) 31 (2.9) 5 (0.5) 40 (3.7) 36 (3.3) |
Site of infection Basicranium Extremities (except foot) Foot Other cranium bones Pelvis and hip Ribs and sternum Shoulder Splanchnocranium Vertebrae |
66 (6.2) 290 (27) 48 (4.5) 91 (8.5) 62 (5.8) 118 (11) 35 (3.3) 265 (24.7) 318 (29.7) |
Risk factors Bedsores CGD COVID-19 CVC Diabetes mellitus Disseminated fungal infection Fungemia HIV Hospitalised < 6 months IDU Oncohaematological disease Other immunodepression Parental nutrition Prosthesis Transplant Surgery/local lesion |
5 (0.5) 15 (1.4) 57 (5.3) 72 (6.7) 261 (24.3) 234 (21.8) 74 (6.9) 23 (2.1) 155 (14.5) 43 (4) 149 (13.9) 198 (18.5) 22 (2) 31 (2.9) 91 (8.5) 288 (26.9) |
Diagnosis Empirical Microbiological isolate from bone Histological Other microbiological methods Radiological |
23 (2.1) 878 (81.9) 785 (73.2) 125 (11.7) 826 (77) |
Time to diagnosis 0–1 month 1–6 months >6 months |
279 (26) 381 (35.5) 97 (9) |
Outcome Death Recovery Recurrence/chronicity |
113 (10.5) 781 (72.8) 118 (11) |
Treatment Duration, months Known antifungal ≥ 1 Known antifungal ≥ 2 Empirical Surgery |
4 [0–48], 23 * 877 (81.8) 533 (49.7) 35 (3.3) 705 (65.8) |
* Patients who required chronic treatment.