Table 1.
Demographic data and underlying diseases of cases with probable, possible invasive aspergillosis (IA), and no evidence for IA as well as probable invasive mold infection (IMI).
Demographic data, underlying diseases and other characteristics at the time of sampling (n=106) | Probable IA (n=11) | Possible IA (n=32) | No evidence for IA (n=63) | p-value* | probable IMI (n=18; including probable IA) | |
---|---|---|---|---|---|---|
Sex |
Female Male |
6 (55%) 5 (45%) |
13 (41%) 19 (59% |
34 (54%) 29 (46%) |
>0.2 | 7 (39%) 11 (61%) |
Age [years] | Median (Range) | 55 (49–74) | 60 (26–82) | 57 (27–85) | >0.2 | 59 (49–79) |
Underlying diseases |
AML / MDS NHL MM ALL Others# |
6 (50%) 2 (18%) 1 (9%) 2 (18%) 0 |
22 (60%) 4 (13%) 0 4 (13%) 2 (6%) |
23 (37%) 18 (29%) 8 (13%) 5 (8%) 9 (14%) |
0.06 | 11 (61%) 3 (17%) 1 (6%) 3 (17%) 0 |
Other characteristics | Autologous SCT | 2 (18%) | 2 (6%) | 7 (11%) | >0.2 | 3 (17%) |
Allogeneic SCT | 3 (27%) | 11 (34%) | 13 (21%) | >0.2 | 6 (33%) | |
GvHD | 2 (18%) | 7 (22%) | 7 (11%) | >0.2 | 5 (28%) | |
Systemic corticosteroid treatment within 14 days of sampling | 6 (55%) | 6 (19%) | 18 (29%) | 0.08 | 8 (44%) | |
Positive diagnostic test for viral infections within 14 days of sampling | 5 (45%) | 15 (47%) | 18 (29%) | 0.18 | 11 (61%) | |
Positive diagnostic test for relevant bacterial pathogens/pneumocystis or toxoplasma in BALF§ | 1 (9%) | 8 (25%) | 12 (19%) | >0.2 | 1 (9%) | |
Neutropenia (<500/μL) ≤10 days | 3 (27%) | 6 (19%) | 11 (17%) | >0.2 | 4 (22%) | |
Neutropenia (<500/μL) >10 days | 5 (45%) | 15 (47%) | 8 (13%) | <0.001 | 7 (39%) | |
Mold-active antifungal prophylaxis/treatment (within 24h before sampling and ≥2 days) | 10 (91%) | 30 (94%) | 45 (71%) | 0.02 | 16 (89%) |
Bold indicates p-values that met statistical significance.
included in cases with possible IA 1 chronic lymphoid leukemia (CLL) and 1 primary myelofibrosis; and in cases without evidence for IMI 4 CLL, 2 primary myelofibrosis, 2 Hodgkin’s lymphoma, and 1 anaplastic anemia.
Bacterial pathogens: 1 in probable IA, 7 in possible IA, 8 in no IA; Pneumocystis: 1 in possible IA, 3 in no IA; Toxoplasma: 1 in no IA.
Abbreviations: ALL = acute lymphocytic leukemia; AML= acute myelogenous leukemia; GvHD = Graft versus Host Disease; IA = invasive aspergillosis; IMI = invasive mold infection; MDS = myelodysplastic syndrome; MM = multiple myeloma; NHL = Non-Hodgkin lymphoma; SCT = stem cell transplantation.