TABLE 1.
Characteristic | No. (%) of patients |
---|---|
Patients (n = 39) | |
Male | 24 (62) |
Age (median yr [range]) | 59 (5–76) |
Underlying condition | |
Hematologic malignancy | 22 (56) |
Allogeneic hematopoietic stem cell transplantation | 12 (31) |
Solid-organ transplantation | 13 (33) |
Immunosuppressive therapy | 23 (59) |
Neutropenia | 16 (41) |
Diabetes mellitus | 19 (49) |
Infection | |
Proven/probable | 32 (82)/7 (18) |
Fungal pathogen | |
Mucoralesa | 19 (49) |
Fusarium spp. | 12 (31) |
Otherb | 8 (20) |
Primary site of infection | |
Lung | 23 (59) |
Skin/Soft tissue | 9 (23) |
Sinus | 6 (15) |
Intra-abdominal | 1 (3) |
Multiple sites | 21 (54) |
First-line antifungal therapy | |
Amphotericin B | 10 (26) |
Voriconazole | 17 (44) |
Posaconazole | 1 (3) |
Micafungin | 8 (21) |
No therapy | 3 (8) |
Outcome | |
Response to therapy (week 6) | 12 (31) |
Mortality (week 4) | 18 (46) |
Rhizopus spp. (n = 10), Cunninghamella spp. (n = 4), Mucor spp. (n = 3), Lichtheimia spp. (n = 2).
Scedosporium apiospermum (n = 3), Scedosporium prolificans (n = 1), Purpureocillium lilacinum (n = 2), Paecilomyces variotii (n = 1), Scopulariopsis spp. (n = 1).