Skip to main content
. 2021 Jan 2;46(6):2920–2941. doi: 10.1007/s00261-020-02896-7

Table 2.

Differentiating features of solid organ and hematologic malignancies and related infectious pathogens

Hematologic malignancies Solid organ malignancies
Malignancy incidence Less common (leukemia, lymphoma, multiple myeloma) More common (carcinoma, sarcoma)
Risk factors for infection

Severe prolonged neutropenia from chemotherapy and immunosuppression

Altered permeability in mucosal barrier injury from cytotoxic chemotherapy

Multifactorial: obstruction from tumor, disruption of natural barriers
Distinctive entities

Febrile neutropenia

Blood stream infections (bacteremia, candidemia)

Neutropenic enterocolitis

Ascending cholangitis

Abscesses (hepatic, renal, prostate)

Bowel obstruction and necrosis, perforation

Fistulas

Obstructive uropathy

Surgical site infections

Most common pathogens

Enterobacteriaceae

Cytomegalovirus

Invasive aspergillosisa

Candida

Methicillin-resistant S. aureus

Pseudomonas aeruginosa

Clostridium difficile

Extended spectrum beta-lactamase-producing organisms e.g. Klebsiella pneumonia

Vancomycin-resistant enterococci

Polymicrobial infectionsb,c

aRuiz Camps [13]

bSutton [1]

cRolston [3]