Table 1.
Characteristic | Patients |
Sex, male:female | 68:47 |
Age, median years (range) | 60 (26–81) |
Multiple myeloma as underlying disease, no. (%)a | 104 (90) |
Antineoplastic treatment | |
Chemotherapyb | 60 (52) |
HCTc | 55 (48) |
Prior HCT, median no. (range) | 1 (0–4) |
Receipt of corticosteroids during the 60 days preceding IA diagnosis, no. (%) | 105 (91) |
Neutropenia at diagnosis of IA, no. (%)d | 100 (87) |
Antifungal therapy, no. (%) | |
Voriconazole | 66 (57) |
Liposomal amphotericin B | 28 (24) |
Othere | 14 (13) |
None | 7 (6) |
Time from diagnosis of IA to antifungal therapy, median days (range) | 3 (0–28) |
Duration of antifungal therapy, median days (range) | 23 (1–82) |
Abbreviation: HCT, hematopoietic stem cell transplantation.
Other underlying diseases: acute myeloid leukemia (4 patients), non-Hodgkin lymphoma (3 patients), solid tumor (2 patients), chronic lymphocytic leukemia (1 patient), and myelofibrosis (1 patient).
There were 50 myelosuppressive and 10 nonmyelosuppressive regimens; 50 autologous and 5 allogeneic HCT.
Seven patients did not receive treatment because of early death (2) or spontaneous response after bone marrow recovery (5).
Neutropenia was defined as absolute neutrophil count <500/mm3.
Other treatments included combinations of various agents: voriconazole, liposomal amphotericin B, micafungin, or anidulafungin.