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. 2004 Jun;42(6):2733–2741. doi: 10.1128/JCM.42.6.2733-2741.2004

TABLE 2.

Diagnosis of IA and its documentation

Episode no. Patient characteristicsa:
Host factors Clinical evidence Culture and its source Histological evidence Maximum value (method I/method II)
Age (yr) Sex IA Primary disease Status of primary disease Out- come PCR (copies/ml) GM (O.D.L) BDG (ng/ml)
1 41 F P AML M1 Post-allo, RD Dead NF Erosion of sinus walls A. flavus and A. fumigatus from pharyngeal mucosa Biopsy 2,000/200 3.8/3.6 19.7/4.7
2 32 M P MDS (RAEB-t) Post-allo, CR Dead GS Dyspnea, pleural effusion Autopsy 32/0 1.3/1.0 60.5/36.5
3 58 M P AML M1 RD Dead NF Halo sign Autopsy 90/42.5 7.7/6.4 25/1.5
4 38 F P AML M2 Post-allo, CR Alive NS Cavity within area of consolidation A. fumigatus from broncheal lavage fluid Biopsy 33.5/0 1.9/1.7 2.8/0
5 51 M P Macroglobulinemia Stable disease Dead None Extensive skull base destruction A. fumigatus from epidural abscess Biopsy 0/0 1.2/0.8 37.4/7.1
6 19 M P MDS RA RD Dead NF Multiple nodular lesions in the lung field, pleural effusion Autopsy 3,500/1,000 2.5/1.5 155.5/59.2
7 42 M P MDS/AML Post-allo, RD Dead NFG Dyspnea, pleural effusion Autopsy 24/9 2.4/0.6 0/0
8 63 F P ATL acute type RD Dead NF Dyspnea, pleural effusion Autopsy 50/12.5 1.9/0.7 2.4/0
9 69 M P ALL PreB RD Dead NF No specific clinical evidence Autopsy 100,000/5,000 4.2/1.1 171.7/12.6
10 53 M PP AML M2 Post-allo, CR Dead FG Dyspnea, pleural effusion A. spergillus spp. from broncho- alveolar lavage fluid NAb 5/0 5.3/0.7 4.5/2.2
11 40 M PP CML CP1 Post-allo, CR Alive NGS Halo sign A. fumigatus from sputum NA 11.5/7.5 2.3/2.0 0/0
12 68 M PPP MDS/AML RD Dead NF Multiple nodular lesions in the lung field, intraparenchymal brain mass lesion, seizure, hemiparesis NA 155/100 2.2/1.5 18.3/16.6
13 24 M PPP AML M4E CR, HDAraC Alive NF Nodular skin lesion without any other explanation, multiple nodular lesions in the lung field NA 20.5/0 4.5/0.3 0/0
14 61 M PPP AML M4E CR, HDAraC Alive N Halo sign NA 1,000/9 0.2/0.1 3.5/2.9
15 30 M PPP ALL precursor B Post-allo, CR Alive NFGS Nonspecific abnormal shadow in lung field, pleural effusion NA 60/60 0.6/0.4 0/0
16 61 M PPP AML M2 RD Dead NF Multiple nodular lesions in the lung field, halo sign, cavity within area of consolidation NA 84.5/0 1.1/0.7 2/0
17 68 M PPP CML BC RD Dead NS Dyspnea, pleural effusion NA 165/0 0.3/0.2 0/0
18 25 M PPP ALL precursor B RD Alive NG Cavity within area of consolidation NA 400/0 0.7/0.6 3.2/0
19 32 M PPP ALL PreB Post-allo, CR Dead FGS Dyspnea, pleural effusion NA 27/1 0.7/0.5 3.7/2.4
20 18 F PPP AML M2 CR, HDAraC Alive N Halo sign NA 0/0 0.6/0.1 0/0
21 55 M PPP MDS RA Stable disease Alive F Cough, dyspnea, pleural effusion NA 19/4 0.8/0.3 0/0
22 28 M PPP CML CP1 Post-allo, CR Alive G Cough, dyspnea, pleural effusion NA 0/0 0.4/0.3 0/0
23 40 M PPP CML CP1 Post-allo, CR Alive GS Cough, dyspnea, new infiltrate not fulfilling the major radio- logical criteria without an alternative diagnosis NA 6/0 0.5/0.4 0/0
24 54 M PPP ALL precursor B Post-allo, CR Alive F Dyspnea, new infiltrate not ful- filling the major radiological criteria without an alternative diagnosis NA 10.5/0 0.5/0.3 0/0
a

F, female; M, male; P, proven; PP, probable; PPP, possible; AML, acute myeloid leukemia; MDS, myelodysplastic syndrome; RA, refractory anemia; RAEB-t, RA with excess of blasts in transformation; ALL, acute lymphoblastic leukemia/lymphoma; CML, chronic myelogenous leukemia; CP, chronic phase; BC, blastic crisis; allo, allogencic hematopoietic stem cell transplantation; CR, complete remission; RD, refractory disease; HDAraC, high-dose cytrabine; N, neutropenia; F, persistent fever; G, GVHD, S, prolonged use of corticosteroid.

b

NA, not available.