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.
Percentages were calculated of 91 that received lumbar punctures.
Reference category.