TABLE 2.
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 |
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.
NA, not available.