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 |