Table 5.
Treatment and outcomes of Histoplasma-associated hemophagocytic lymphohistiocytosis
Case Number | Antifungal drug used | Liposomal amphotericin B duration (days) | Oral antifungal duration (days) | Immuno suppressive treatment | HAART at time of diagnosis | Immuno suppressive duration | HAART started during admission | Outcome at 30 days | Survival from admission (days) |
---|---|---|---|---|---|---|---|---|---|
1 | Liposomal amphotericin B | Unknown | 0 days | None | Yes | None | No | Died | 16 |
2 | Liposomal amphotericin B; itraconazole | 14 | Unknown | None | Yes | None | Yes | Alive | 2168 |
3 | Liposomal amphotericin B; fluconazole | 21 | >1 year | Prednisone 20 mg PO daily | No | Unknown | No | Died | 221 |
4 | Itraconazole | 0 | Unknown | None | N/A | None | N/A | Alive | 44 |
5 | Unknown | Unknown | Unknown | Unknown | Yes | Unknown | Unknown | Alive | 3560 |
6 | Liposomal amphotericin B; voriconazole | Unknown | Unknown | Prednisolone 10 mg po BID, Tacrolimus 1.5 mg PO daily | N/A | 5 months | N/A | Alive | 2849 |
7 | Liposomal amphotericin B; itraconazole | 16 | 12 weeks | None | No | None | No | Alive | 86 |
8 | Liposomal amphotericin B; itraconazole | 5 | 0 days | IVIG × 1; prednisone 40 BID | No | 9 days | No | Died | 9 |
9 | Liposomal amphotericin B; itraconazole | 3 | Unknown | IVIG 1gm × 1 | No | 1 day | No | Died | 9 |
10 | Liposomal amphotericin B; itraconazole | 18 | >1 year | None | Yes | None | No | Alive | 408 |
11 | Liposomal amphotericin B | 11 | 0 days | Prednisone 40 mg PO BID; solumedrol 60 mg IV q6hrs | No | 11 days | Yes | Died | 13 |
Abbreviations: HAART, Highly active antiretroviral therapy; IVIG, intravenous immunoglobulin.