TABLE 1.
Patient | Age (yr) | Sex | Colonization before LTx | Antifungal prophylaxis after LTx | Time to diagnosis after LTx | Mycological organism identified | Antifungal agent(s) | Site(s)/clinical manifestation(s) | Survival time after diagnosis | Reference |
---|---|---|---|---|---|---|---|---|---|---|
1 | 27 | M | NA | None | 6 wkb | S. apiospermum/P. boydii | AMB | CNS | NA | 2 |
2 | 24 | F | No | None | 7.5 mo | S. apiospermum/P. boydii | ITC-MIC | Heart, spleen, kidneys, CNS | 4 wk | 24 |
3 | 30 | M | Yes | None | 2 wk | S. apiospermum/P. boydii | AMB-MIC | Neuroria, pleuritis, pericarditis | 1 wk | 5 |
4 | 26 | F | Yes | ITC, AMB | 3 wk | S. apiospermum/P. boydii | VRC-MICc | Skin nodules, endophtalmitis, meningitis | 6 mo | 28 |
5 | 19 | F | Yes | VRC | 4 wk | S. apiospermum/P. boydii | VRC-CAS-TRB followed by POS | Skin nodules, endophtalmitis, pansinusitis, chest wall cellulitis, mediastinitis, vertebral osteomyelitis, septic arthritis | 14 mo | 26 |
6 | 37 | F | Yes | VRC | 8 wk | P. boydii | VRC-CAS-TRB | Skin nodules, endocarditis, CNS | 6 mo | This article |
The outcome for all patients was death. M, male; F, female; NA, not available; ITC, itraconazole; MIC, miconazole; VRC, voriconazole; POS, posaconazole; AMB, amphotericin B; CAS, caspofungin; TRB, terbinafine; LTx, lung transplantation; CNS, central nervous system.
Diagnosis was made on brain biopsy.
Intraocular miconazole.