Table 1.
Patient | Sex/ age (years) | Comorbidities | Aspergillus-associated clinical conditiona | Specimen | Collection date (dd/mm/yyyy) | Antifungals received prior to collection date | Isolate | Identification | MIC (mg/L)b |
||
---|---|---|---|---|---|---|---|---|---|---|---|
ITC | PSC | VRC | |||||||||
1 | M/62 | CLL; COPD; community-acquired pneumonia | colonization | BAL | 23/05/2000 | none | HMR AF 23 | A. turcosus | 0.25 | 0.12 | 0.25 |
2 | M/52 | allogeneic stem cell transplantation | non-invasive sinus aspergillosis and nasal septum abscess | nasal sinus abscess | 31/07/2000 | FLC | HMR AF 39c | A. thermomutatus | 2 | 1 | 2 |
3 | M/55 | probable old TB cavity | chronic cavitary pulmonary aspergillosis | expectorated sputum | 18/12/2002 | ITC | HMR AF 270 | A. fumigatus | 2 | 1 | 2 |
4 | F/70 | lymphoma (cutaneous); COPD | chronic cavitary pulmonary aspergillosis | BAL | 26/06/2009 | none | HMR AF 832 | A. hiratsukae | 0.25 | 0.12 | 1 |
5 | M/51 | COPD; SAHS; AECB | colonization | BAL | 14/10/2010 | none | HMR AF 1185 | A. lentulus | 2 | 0.5 | 2 |
6 | M/71 | congestive heart failure; SAHS; idiopathic haemoptysis | colonization | BAL | 08/12/2011 | none | HMR AF 1186 | A. hiratsukae | 0.5 | 0.25 | 0.5 |
7 | M/70 | diabetes mellitus; COPD; pulmonary Mycobacterium avium disease | colonization | BAL | 16/01/2012 | none | HMR AF 1038 | A. turcosus | 2 | 1 | 2 |
8 | M/68 | COPD; AECB | colonization | expectorated sputum | 15/02/2012 | none | HMR AF 1041 | A. turcosus | 0.25 | 0.12 | 0.5 |
9 | F/57 | kidney transplantation; PCP | colonization | BAL | 23/01/2013 | none | HMR AF 1120 | A. turcosus | 0.25 | 0.06 | 0.25 |
Abbreviations: M, male; F, female; SAHS, sleep apnoea/hyponoea syndrome; AECB, acute exacerbation of chronic bronchitis; PCP, Pneumocystis jirovecii pneumonia; BAL, bronchoalveolar lavage; FLC, fluconazole; ITC, itraconazole; PSC, posaconazole; VRC, voriconazole.
Conditions shown in bold are considered Aspergillus-related diseases.
MIC values shown in bold are considered non-WT (indicating resistance).
Six other A. thermomutatus isolates were recovered from the same patient.