Table 1.
Clinical characteristics, radiological findings, and results of GM and PCR assays for 17 patients with proven and probable IA
Patient no. | Clinical setting | IA diagnosisa | Underlying disease/host factor(s)b | CT finding(s) | BAL fluid result |
GM OD index |
CT result |
|||
---|---|---|---|---|---|---|---|---|---|---|
Microscopy | Culture | Serum | BAL fluidc | MycAssayd | In-house PCR | |||||
1 | ICU | Probable | Cirrhosis | Nodules | Negative | Negative | 1.2 | 1.8 | Positive (33.5) | Positive (34.2) |
2 | HEM | Probable | AML | Nodules | Positive | Positive (A. fumigatus) | 2.1 | 5.5 | Positive (25.4) | Positive (27.2) |
3 | HEM | Probable | ALL | Air crescent sign | Negative | Negative | 0.9 | 2.2 | Positive (32.5) | Positive (33.4) |
4 | HEM | Probable | AML | Halo | Negative | Negative | 0.8 | 0.4 | Positive (32.5) | Positive (35.1) |
5 | ICU | Probable | Steroids | Pleural effusion | Negative | Negative | 1.8 | 3.2 | Positive (31.5) | Positive (30.9) |
6 | ICU | Probable | Steroids, COPD | NAe | Positive | Negative | 2.2 | 2.9 | Positive (30.9) | Positive (31.8) |
7 | HEM | Probable | AML | Nodules | Negative | Negative | 1.5 | 2.3 | Positive (33.3) | Negative |
8 | HEM | Probable | ALL | Air crescent sign | Positive | Positive (A. fumigatus) | 3.5 | 6.3 | Positive (24.4) | Positive (26.0) |
9 | HEM | Probable | AML | Nodules, halo | Positive | Positive (A. fumigatus) | 2.9 | 7.0 | Positive (27.2) | Positive (27.9) |
10 | HEM | Provenf | AML | Halo | Positive | Positive (A. flavus) | 1.8 | 8.3 | Positive (21.5) | Positive (24.1) |
11 | HEM | Probable | NHL | Nodules | Negative | Negative | 0.8 | 1.9 | Positive (29.8) | Positive (30.2) |
12 | HEM | Probable | ALL | Nodules | Positive | Positive (A. fumigatus) | 1.3 | 4.2 | Positive (25.9) | Positive (27.1) |
13 | ICU | Proveng | Solid cancer | Necrotizing lesions | Positive | Positive (A. fumigatus) | 2.0 | 4.4 | Positive (22.1) | Positive (24.3) |
14 | HEM | Probable | NHL | Halo | Negative | Negative | 1.9 | 3.5 | Positive (27.1) | Positive (28.1) |
15 | HEM | Probable | AML | Halo | Negative | Negative | 0.9 | 2.6 | Positive (29.0) | Positive (31.1) |
16 | HEM | Probable | AML | Nodules | Negative | Positive (A. fumigatus) | 0.8 | 4.2 | Positive (26.3) | Positive (28.1) |
17 | HEM | Probable | NHL | Nodules | Negative | Negative | 0.8 | 1.1 | Negative (37.2) | Negative |
IA was diagnosed according to the revised European Organization for Research and Treatment of Cancer/Mycoses Study Group criteria from 2002 (10).
AML, acute myeloblastic leukemia; ALL, acute lymphoblastic leukemia; COPD, chronic obstructive pulmonary disease; NHL, non-Hodgkin's lymphoma.
A threshold of 36 cycles corresponding to a target sensitivity of ≤50 18S rRNA copies was used as a cutoff value for positive BAL PCR (9).
NA, not available.
As defined by positive histopathology of lung biopsy.
As defined by positive culture of pleural fluid drain.