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. 2016 Jun 16;3(3):ofw128. doi: 10.1093/ofid/ofw128

Table 4.

Demographics, Clinical Characteristics, and Mycological Data of Patients With Rare Invasive Fungal Diseases

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.