Table 5.
Mortality after HSCT | No (%) |
---|---|
Total | 38 (22) |
Causes | |
Non-pulmonary etiologies | 26 (68) |
Underlying disease progression | 9 (24) |
GVHD | 8 (21) |
Non-pulmonary infections | 3 (8) |
Lymphoproliferative disorder | 3 (8) |
Acute myocardical infarction | 1 (2) |
Hemolytic anemia | 1 (2) |
Trombotic microangiopathy | 1 (2) |
Pulmonary etiologiesa | 12 (32) |
Infectious | 9 (24) |
P. aeruginosa | 3 |
S. maltophila | 1 |
E. faecium | 1 |
P. aeruginosa+E. faecalis | 1 |
P. aeruginosa+S. maltophila+RSV+ADV | 1 |
CMV | 1 |
Aspergillus | 1 |
Non-infectious | 3 (8) |
Non-specific intersticial pneumonia | 1 |
Pulmonary drug toxicity | 2 |
Abbreviations: ADV=Adenovirus; HSCT=hematopoietic SCT; RSV=respiratory syncytial virus.
aPost-mortem examination was performed in 4 out of the 12 patients who died as a result of the pulmonary complication. In three cases, necropsy confirmed the clinical diagnosis of pneumonia; in one case, demonstrated an undiagnosed S. maltophila pneumonia and one last case demonstrated signs of diffuse pulmonary damage with negative cultures.