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. 2017 Feb 9;64(5):558–564. doi: 10.1093/cid/ciw786

Table 3.

Univariate Analysis of Mortality Within 90 Days in 147 Human Immunodeficiency Virus-Uninfected Patients With Cryptococcosis

Variable No. (%) of Patients Who Died (n = 48) No. (%) of Patients Who Survived (n = 99) Hazard Ratio
(95% CI)
P Value
ID consultation 27 (56) 73 (73) 0.49 (.28–.87) .014
Age >55 y 40 (83) 48 (49) 3.9 (1.9–8.5) <.001
Male sex 38 (79) 63 (64) 1.8 (.9–3.7) .086
Race
White 39 (81) 79 (80) b
African American 8 (17) 10 (10) 1.6 (.7–3.4) .23
Other 1 (2) 10 (10) 0.25 (.4–1.8) .170
Site of infection
Central nervous system 17 (35) 45 (46) 0.70 (.4–1.2) .25
Pulmonary 17 (35) 40 (4) 0.9 (.5–1.6) .62
Bloodstream 27 (56) 31 (31) 2.4 (1.4–4.3) .003
Other 3 (6) 7 (7) 0.9 (.3–2.8) .82
Disseminated disease 39 (81) 63 (64) 2.2 (1.1–4.5) .036
Positive serum CrAg 43 (90) 65 (66) 3.6 (1.4–9.2) .006
Serum CrAg titer
0 3 (6) 34 (34) b
1:1–1:8 4 (8) 7 (7) 5.3 (1.2–23.8) .028
1:16–1:512 31 (65) 48 (49) 5.9 (1.8–19.2) .003
 ≥1:1204 10 (21) 10 (10) 8.5 (2.3–30.8) .001
Positive CSF CrAg 16 (64) 44 (69) 0.9 (.4–2.0) .80
CSF CrAg titera
0 9 (36) 20 (30) b .44
1:2–1:8 4 (16) 16 (24) 0.7 (.2–2.3) .57
1:16–1:512 6 (24) 22 (33) 0.7 (.3–2.0) .51
 ≥1:1024 6 (24) 8 (12) 1.7 (.6–4.0) .34
Predisposing factors
None 6 (13) 28 (28) 0.41 (.17–.96) .039
Chemotherapy 18 (38) 13 (13) 2.7 (1.5–4.8) .001
Hematologic malignancy 12 (25) 13 (13) 1.9 (.99–3.6) .055
End-stage renal disease 3 (6) 6 (6) 0.97 (.30–3.1) .97
End-stage liver disease 13 (27) 9 (9) 3.0 (1.6–5.8) .001
Solid organ transplant 4 (8) 20 (20) 0.41 (.14–1.1) .088
Glucocorticoid therapy 12 (25) 35 (35) 0.66 (.34–1.3) .21
Biologic therapy 3 (6) 9 (9) 0.65 (.20–2.1) .47
Other immunosuppressive therapy 7 (15) 18 (18) 0.77 (.35–1.7) .52

Abbreviations: CI, confidence interval; CrAg, cryptococcal antigen; CSF, cerebrospinal fluid; ID, infectious disease; y, year.

a

Percentages were calculated of 91 that received lumbar punctures.

b

Reference category.