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. 2011 Dec;49(12):4273–4278. doi: 10.1128/JCM.05026-11

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
a

IA was diagnosed according to the revised European Organization for Research and Treatment of Cancer/Mycoses Study Group criteria from 2002 (10).

b

AML, acute myeloblastic leukemia; ALL, acute lymphoblastic leukemia; COPD, chronic obstructive pulmonary disease; NHL, non-Hodgkin's lymphoma.

c

An optical density (OD) index of ≥1.0 was used as a cutoff value for positive BAL GM (7, 27).

d

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).

e

NA, not available.

f

As defined by positive histopathology of lung biopsy.

g

As defined by positive culture of pleural fluid drain.