Table 1.
Baseline Characteristics of 193 patients with Cryptococcal Disease by site of involvement (Other Extrapulmonary compared with Central Nervous System Disease) 2002–2017.
Variable | CNS N=143(%) | OECD N=50 (%) | p |
---|---|---|---|
Age (±SD) | 48.1(15.1) | 46.1(15.9) | 0.4 |
Male | 96 (67.1) | 38 (76) | 0.2 |
White | 69 (48.3) | 24 (48) | 0.9 |
Presenting Symptoms | |||
Fever | 98 (68.5) | 29 (58) | 0.2 |
Fatigue | 118 (82.5) | 37 (74) | 0.2 |
Neck stiffness | 52 (36.4) | 2 (4) | <0.001 |
Headache | 103 (72) | 18 (36) | <0.001 |
AMS | 87 (60.8) | 9 (18) | <0.001 |
Visual changes | 15 (10.5) | 2 (4) | 0.2 |
Weight loss | 40 (28) | 10 (20) | 0.3 |
CN Palsy | 5 (3.5) | 1 (2) | 0.6 |
Cough | 12 (8.4) | 17 (34) | <0.001 |
Dyspnea | 10 (7) | 19 (38) | <0.001 |
Time to Diagnosis from hospitalization | 1 (0–3.25) | 2 (1–4) | 0.32 |
Time to diagnosis from symptom onset | 12.5 (6–24) | 21 (5.75–41) | 0.09 |
Underlying condition | |||
Non-HIV, non- transplant (%) | 61 (42.7) | 17 (34) | 0.3 |
On immunosuppressive therapy | 39 (27.2) | 11 (22) | 0.42 |
Immunocompetent | 22 (15.4) | 6 (12) | 0.6 |
HIV/AIDS | 69 (48.3) | 25 (50) | 0.8 |
Median CD4 at CD diagnosis (IQR) | 21 (6–42) | 29 (8–57) | 0.02 |
Any Transplant | 13 (9.1) | 8 (16) | 0.2 |
Diabetes Mellitus | 15 (11) | 9 (18) | 0.2 |
ESLD | 18 (12.6) | 4 (8) | 0.4 |
ESRD | 9 (6.3) | 5 (10) | 0.4 |
Solid organ CA | 13 (9.1) | 9 (18) | 0.08 |
Hematological CA | 13 (9.1) | 5 (10) | 0.8 |
Microbiological Data | |||
Serum CrAg positivity | 87 (89.7) | 43 (89.6) | 0.9 |
0 | 10 (10.3) | 5 (10.4) | <0.001 |
1:2 – 1:8 | 6 (6.2) | 8 (9.5) | |
1:16–1:512 | 40 (41.2) | 31 (64.6) | |
≥1:1024 | 41 (42.3) | 4 (8.3) |
CSN, Central Nervous System; AMS; altered mental status, OECD, Other Extrapulmonary Cryptococcal Disease; ESLD, End stage Liver Disease; ESRD, End stage Renal Disease; CA, Cancer; HIV/AIDS Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome; CrAg, Cryptococcal Antigen; CD Cryptococcal Disease.