Table 1.
Patient | Underlying disease status1 | Age (years) /sex | Prior IFI
|
Secondary prophylaxis
|
Second IFI
|
L-AmB–attributable side effect | Follow-up | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Organ involved | Pathogen | Diagnostic certainty2 | Treatment (duration)3 | Dose (mg/kg/weight) | Duration (days) | Organ involved | Pathogen | Diagnostic certainty2 | |||||
1 | MCL, complete remission | 55/M | Lungs | Aspergillus niger, Rhizopus | Proven | L-AmB + Vori (6 weeks) | 6.5 | 59 | Lungs, sinus | Aspergillus species | Probable | Acute renal injury | Death because of IFI at 1 month |
2 | AML, complete remission | 52/M | Lungs | Aspergillus glaucus | Probable | L-AmB + ANF (4 weeks) | 5 | 16 | Lungs | Aspergillus spp | - | Acute renal injury | Alive after 1 year |
3 | AML, refractory | 44/M | Lungs | unknown | Possible | Caspo + Vori (6 weeks) | 10 | 18 | Lungs | unknown | Possible | no | Death because of AML at 1 year |
4 | CML, refractory | 51/M | Lungs | unknown | Possible | L-AmB (2 weeks) | 6.2 | 27 | - | - | - | Acute renal injury | Death because of CML at 3 months |
5 | AML, refractory | 55/M | Lungs | unknown | Possible | L-AmB + Caspo (4 weeks) | 7.5 | 26 | Lungs | unknown | Possible | no | Death because of AML at 3 months |
6 | AML, complete remission | 60/F | Foot Lungs | Fusarium species | Proven | L-AmB + Caspo (5 weeks) | 7.5 | 20 | - | - | - | no | Alive after 3 months |
7 | ALL, relapsed | 27/F | Sinus | Rhizopus | Proven | L-AmB + Vori (9 months) | 5 | 128 | Sinus | Candida krusei, Candida glabrata | Probable | Acute renal injury | Death because of ALL at 1 year |
8 | ALL, complete remission | 72/F | Lungs | Aspergillus species | Proven | L-AmB + Caspo (7 weeks) | 7.5 | 70 | - | - | - | no | Death because of ALL at 3 years |
9 | ALL, complete remission | 70/M | Lungs | Aspergillus fumigatus | Probable | L-AmB + Caspo (4 weeks) | 5 | 42 | - | - | - | no | Death because of ALL at 1 year |
10 | ALL, complete remission | 49/M | Lungs Sinus | unknown | Possible | L-AmB + Caspo (4 weeks) | 7.5 | 96 | - | - | - | no | Alive at 3 years |
11 | BPL, relapsed | 56/M | Lungs Skin | Mucor circineloides | Proven | L-AmB + Caspo (4 months) | 5 | 49 | - | - | - | no | Death because of ALL at 2 months |
12 | AML, relapsed | 73/M | Lungs | unknown | Possible | L-AmB + Posa (5 weeks) | 9 | 14 | - | - | - | yes | Death because of AML at 5 months |
13 | AML, relapsed | 57/F | Blood Skin | Candida tropicalis | Proven | Caspo + Vori (2 weeks) | 9 | 29 | Lungs Skin | Candida tropicalis | Proven | no | Death because of AML at 1 year |
14 | AML, complete remission | 52/F | Mandible | Rhizopus | Proven | L-AmB (10 weeks) | 5 | 14 | - | - | - | Acute renal injury | Death because of AML at 3 years |
MCL, mantle cell lymphoma; AML, acute myeloid leukemia; CML, chronic myeloid leukemia; ALL, acute lymphocytic leukemia; BPL, biphenotypic leukemia.
European Organization for Research and Treatment of Cancer and Infectious Diseases Mycoses Study Group criteria.
Vori, voriconazole; ANF, anidulafungin; Caspo, caspofungin; Posa, posaconazole.