TABLE 3.
Characteristics of patients who had probable or proven invasive fungal infections while receiving posaconazole prophylaxisa
| Patient | Age >65 yr | Sex | Underlying diagnosis | HSCT | Posaconazole formulation | EORTC classification | Probable criteria | Site of infection | Identified fungal organism | No. of days after start of prophylaxis | Posaconazole level (μg/ml) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Yes | F | APL | No | Suspension | Probable | Host factor, neutropenia; clinical criteria, tracheobronchial plaques on bronchoscopy; mycological criteria, Aspergillus fumigatus from bronchoalveolar lavage fluid | Lung/trachea | Aspergillus fumigatus | 15 | NC |
| 2 | No | F | CML | No | Suspension | Probable | Host factor, neutropenia; clinical criteria, CT of the chest with multiple pulmonary nodules and focal peribronchial consolidation; mycological criteria, positive galactomannan | Lung | Positive galactomannan only | 18 | 0.28 |
| 3 | Yes | M | AML | No | Suspension | Proven | Skin | Fusarium proliferatum | 17 | 1.82 | |
| 4 | Yes | M | AML | No | Tablet | Probable | Host factor, neutropenia; clinical criteria, CT with numerous bilateral small consolidative nodules; mycological criteria, positive galactomannan | Lung | Positive galactomannan only | 25 | 1.80 |
| 5 | Yes | M | AML | No | Tablet | Proven | Lung | Positive cryptococcal antigen only | 13 | NC | |
| 6 | No | M | GVHD | Allogeneic (2004) | Suspension | Proven | Blood | Candida glabrata | 12 | 1.07 | |
| 7 | No | M | AML | No | Tablet | Proven | Sinuses | Mucor sp. | 66 | 0.90 | |
| 8 | Yes | M | AML | Allogeneic (2013) | Tablet | Proven | Sinuses | Zygomyces sp. | 13 | NC | |
| 9 | No | M | AML | No | Suspension | Proven | Lung | Aspergillus niger | 5 | NC | |
| 10 | No | M | AML | No | Suspension | Probable | Host factor, neutropenia; clinical criteria, multifocal bilateral inflammatory nodularity and consolidation compatible with multifocal pneumonia; mycological criteria, positive galactomannan | Lung | Positive galactomannan only | 7 | NC |
| 11 | No | F | Allogeneic HSCT | Allogeneic (2012) | Suspension | Proven | Lung | Aspergillus sp. | 44 | 2.09 | |
| 12 | No | M | GVHD | Allogeneic (2014) | Tablet | Proven | Blood | Candida glabrata | 78 | 1.20 | |
| 13 | No | M | AML | Allogeneic (2012) | Tablet | Proven | Sinuses | No culture growth | 39 | NC | |
| 14 | Yes | M | AML | No | Tablet | Proven | Blood | Candida tropicalis | 13 | 1.60 |
Data are for 14 patients. F, female; M, male; HSCT, hematopoietic stem cell transplantation; EORTC, European Organization for Research and Treatment of Cancer; CT, computed tomography; APL, acute promyelocytic leukemia; CML, chronic myeloid leukemia; AML, acute myeloid leukemia; GVHD, graft-versus-host disease; NC, not collected.