Table 1.
Clinical and laboratory manifestations of 53 haematological patients with Mycobacterium tuberculosis (TB) infection
Total (n = 53) | Neutropenia | Sites of tuberculosis | |||||
---|---|---|---|---|---|---|---|
No (n = 27) | Yes (n = 26) | P value | Pulmonary TB only (n = 38) | Extra-pulmonary involvemente (n = 15) | P value | ||
Elderly | 0.28 | 0.24 | |||||
Age more than 60 year | 25 | 15 | 10 | 20 | 5 | ||
Age less than 60 year | 28 | 12 | 16 | 18 | 10 | ||
Gender | 0.56 | 0.34 | |||||
Male | 37 | 20 | 17 | 28 | 9 | ||
Female | 16 | 7 | 9 | 10 | 6 | ||
Underlying Diabetes mellitus | 0.67 | 0.66 | |||||
Yes | 6 | 4 | 2 | 5 | 1 | ||
No | 47 | 23 | 24 | 33 | 14 | ||
Hematological Disease | 0.013 | 0.76 | |||||
Acute myeloid leukemia | 29 | 10 | 19 | 20 | 9 | ||
Non-Acute myeloid leukemia | 24 | 17 | 7 | 18 | 6 | ||
Diagnosis of tuberculosis and malignancy | 0.001 | 0.33 | |||||
Synchronousa | 17 | 3 | 14 | 14 | 3 | ||
Non-synchronous | 36 | 24 | 12 | 24 | 12 | ||
Allogeneic stem cell transplantation | 0.19 | > 0.99 | |||||
Yes | 6 | 5 | 1 | 4 | 2 | ||
No | 47 | 25 | 22 | 34 | 13 | ||
Defeverence within 72 hoursb | 0.55 | 0.030 | |||||
Yes | 17 | 9 | 8 | 15 | 2 | ||
No | 31 | 13 | 18 | 18 | 13 | ||
Extra-pulmonary tuberculosis | > 0.99 | ||||||
Yes | 38 | 19 | 19 | ||||
No | 15 | 8 | 7 | ||||
Laboratory datac | |||||||
Absolute neutrophil count (/uL) at fever | 1970 | 3587 | 198 | 0.019 | 2174 | 1100 | 0.87 |
Absolute neutrophil count (/uL) at nadir | 39 | 761 | 17 | < 0.001 | 39 | 39 | 0.59 |
Albumin (g/dL) | 3.60 | 3.48 | 3.70 | 0.40 | 3.50 | 3.6 | 0.80 |
Serum alanine aminotransferase (IU/L) | 30 | 26 | 34 | 0.67 | 34 | 27 | 0.44 |
Alkaline phosphatase (IU/L) | 174 | 207 | 141 | 0.06 | 175 | 153 | 0.52 |
Lactate dehydrogenase (IU/L) | 509 | 574 | 440 | 0.96 | 509 | 509 | 0.58 |
C-reactive protein (mg/dL) | 5.42 | 5.43 | 5.16 | 0.60 | 5.59 | 4.73 | 0.48 |
Treatmentd | |||||||
Standard therapy | 39 | 20 | 19 | > 0.99 | 31 | 8 | 0.048 |
Fluoroquinolone based therapy | 9 | 4 | 5 | 4 | 5 | ||
Outcome (30 days) | |||||||
Death | 3 | 1 | 2 | 0.61 | 0 | 3 | 0.019 |
Alive | 50 | 26 | 24 | 38 | 12 |
aSynchronous define as diagnosis of tuberculosis within 3 months of hematological malignancy
bFive patients with pulmonary tuberculosis did not present with fever
cMedian Value
d48 patients received anti-tuberculosis treatment
eFive of the 15 patients (33.3%) with extra-pulmonary tuberculosis (lymph node, 2; liver aspirates, 1; urine, 1; and blood, 1) also had documented pulmonary tuberculosis