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. 2018 Sep 24;62(10):e00893-18. doi: 10.1128/AAC.00893-18

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
a

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.