Table 4.
IFD due to Rare Fungi | Age | Gender | Category of Patient | Sample Providing Diagnosis | Diagnostic Element | Location of Fungal Infection | BG at TOD |
|
---|---|---|---|---|---|---|---|---|
Time Interval Between Sample Providing Diagnosis and BG Sample (Days) | BG Value (pg/mL) | |||||||
Cryptococcosis | 5 | F | Non-IC | Blood culture | Cryptococcus neoformans | Blood, Meninges, Lymph nodes | 6 | <80 |
55 | F | Hematology | CSF | C. neoformans | Meninges | 1 | 244 | |
57 | M | HIV | CSF | C. neoformans | Blood, Meninges, Urine | 4 | <80 | |
56 | F | SOT | Serum | Positive cryptococcal EIA antigen | Meninges, Skin, Urine | 0 | 89 | |
43 | M | SOT | Sputum | C. neoformans | Lung | 5 | <80 | |
48 | F | SOT | CSF | C. neoformans | Meninges | 1 | <80 | |
60 | M | HIV | Pulmonary biopsy | Encapsulated yeasts at Grocott staining | Lung | −1 | 342 | |
18 | F | Hematology | Blood culture | C. neoformans | Blood | −1 | <80 | |
62 | M | SOT | CSF | C. neoformans | Meninges | 0 | <80 | |
17 | F | SOT | CSF | C. neoformans | Meninges | 8 | <80 | |
Zygomycosis | 69 | F | SOT | Cutaneous biopsy | Mucor irregularis | Skin and subcutaneous tissue | 6 | 144 |
4 | F | SOT | Gastric biopsy | Lichtheimia sp | Gastrointestinal tract | 1 | 158 | |
22 | M | Hematology | Sinus biopsy | Rhizopus sp | Sinus | 0 | 134 | |
66 | F | Hematology | Sinus biopsy | Lichtheimia ramosa | Sinus | −1 | <80 | |
8 | F | SOT | Cutaneous biopsy; Serum | Rhizopus oryzae | Skin and subcutaneous tissue | 10 | <80 | |
IFD due to Fusarium sp | 70 | F | Hematology | Blood culture | Fusarium solanii | Blood | 2 | 99 |
61 | F | SOT | Sputum | Fusarium sp | Lung | 0 | <80 | |
42 | M | Hematology | Blood culture | Fusarium sp | Blood | 10 | <80 | |
62 | F | Hematology | Blood culture | Fusarium proliferatum | Blood | 0 | <80 | |
IFD due to Trichosporon sp | 33 | M | Hematology | Blood culture | Trichosporon sp | Blood | 1 | >523 |
67 | F | Hematology | Blood culture | Trichosporon sp | Blood | 9 | >523 | |
10 | F | ICU | Blood culture | Trichosporon asahii | Blood | 6 | <80 | |
IFD due to Rhodotorula sp | 3 | M | ICU | Blood culture | Rhodotorula mucilaginosa | Blood | 4 | 184 |
2 | M | Hematology | Blood culture | R. mucilaginosa | Blood | 5 | <80 | |
IFD due to Geotrichum sp | 72 | M | Hematology | Blood culture | Geotrichum capitatum | Blood | 0 | 287 |
IFD due to Malassezia sp | 4 | M | Hematology | Blood culture | Malassezia furfur | Blood | 3 | <80 |
IFD due to Acremonium sp | 63 | M | Hematology | Blood culture | Acremonium strictum | Blood | 0 | <80 |
Infection due to Trichoderma sp | 67 | F | SOT | BAL | Trichoderma longibrachiatum | Lung | 3 | 489 |
IFD due to Exophiala sp | 8 | F | Hematology | CSF | Exophiala dermatitidis | Brain, Meninges | −3 | >523 |
IFD due to Cladophialophora sp | 6 | M | Non-IC | CSF | Cladophialophora bantiana | Brain | 6 | 145 |
IFD due to Rasamsonia sp | 29 | M | Hematology | Cutaneous abscess | Rasamsonia argillacea | Lung, Skin, Subcutaneous tissue | 1 | <80 |
Histoplasmosis | 43 | F | HIV | Bone marrow aspiration | Histoplasma capsulatum | Bone marrow, Lymph nodes, Skin | 2 | 233 |
36 | F | HIV | Bone marrow aspiration | H. capsulatum | Disseminated | 3 | 255 | |
Coccidioidomycosis | 32 | M | Non-IC | Sputum | Coccidioides immitis | Lung (relapse) | 0a | 150 |
IFD due to Scedosporium sp | 69 | F | SOT | Bone biopsy | Scedosporium apiospermum | Lung, Bone, Eye, Blood | 2 | >523 |
14 | M | Hematology | Sputum | Scedosporium prolificans | Lung, Blood | 1 | <80 | |
32 | M | Cystic fibrosis | Sputum | Scedosporium sp | Bone (relapse), Disseminated | 7b | 270 | |
52 | F | SOT | Cutaneous sample | S. apiospermum | Subcutaneous tissue, Bone | 0 | <80 | |
Invasive cutaneous phaeohyphomycosis | 62 | M | SOT | Cutaneous biopsy | Alternaria infectoria | Skin, Subcutaneous tissue | 0 | >523 |
58 | F | SOT | Cutaneous biopsy | Alternaria rosea | Skin, Subcutaneous tissue | −4 | 298 | |
63 | M | SOT | Cutaneous biopsy | Phialemonium dimorphosporum | Skin, Subcutaneous tissue | 3 | >523 | |
Deep dermatophytosis | 72 | M | SOT | Cutaneous biopsy | Trichophyton rubrum | Skin, Subcutaneous tissue | −2 | 151 |
56 | M | SOT | Cutaneous biopsy | T. rubrum | Skin, Subcutaneous tissue | 1 | >523 | |
Eumycotic mycetoma | 34 | M | Non-IC | Cutaneous biopsy | Madurella mycetomatis | Lumbar subcutaneous tissue, Lung, Pleura, Retroperitoneum | 0c | 254 |
59 | M | SOT | Cutaneous biopsy | Nonidentified black fungus | Subcutaneous tissue | 1d | 304 | |
69 | M | Diabetes | Cutaneous biopsy | Exophiala jeanselmei | Subcutaneous tissue | 0 | 305 | |
68 | M | SOT | Cutaneous biopsy | F. solanii | Subcutaneous tissue | 0 | 337 | |
54 | M | SOT | Grains in seropurulent exudate | Nonidentified fungus | Subcutaneous tissue | 0 | 237 |
Abbreviations: BG, (1-3)-β-d-glucan; BAL, bronchoalveolar lavage; CSF, cerebral spinal fluid; EIA, enzyme immunoassay; HIV, human immunodeficiency virus; ICU, intensive care unit; IFD, invasive fungal diseases; Non-IC, non-immunocompromised; SOT, solid organ transplant; TOD, time of diagnosis.
a The initial diagnosis of pulmonary coccidioidomycosis was performed 21 months before the current relapse.
b The initial diagnosis of spondylodiscitis due to Scedosporium sp was performed 4 years before the current relapse.
c The initial diagnosis of the eumycotic mycetoma was performed 13 years before the current onset.
d The initial diagnosis of the eumycotic mycetoma was performed 24 years before the current onset.