Table 2.
Diagnostic procedures and susceptibility testing
Characteristic | N | Percentage of total |
---|---|---|
Signs and symptoms of infectiona | ||
Bleeding | 2 | 3.4% |
Cough | 10 | 16.9% |
Dyspnoea | 14 | 23.7% |
Erythema | 4 | 6.8% |
Fever | 33 | 55.9% |
Gastrointestinal symptoms | 11 | 18.6% |
Haemoptysis | 2 | 3.4% |
Neurological signs | 8 | 13.6% |
Pain | 35 | 59.3% |
Tachypnoea | 2 | 3.4% |
Other signs and symptomsb | 14 | 23.7% |
Imaging proceduresa | ||
CT head | 1 | 1.7% |
CT paranasal sinuses | 4 | 6.8% |
CT thorax | 10 | 16.9% |
MRI head | 1 | 1.7% |
Ultrasound heart | 4 | 6.8% |
X-ray thorax | 5 | 8.5% |
Mycological evidencea | ||
Culture | 58 | 98.3% |
Histology | 5 | 8.5% |
Microscopy | 4 | 6.8% |
Susceptibility testing | ||
CLSI microdilution | 4 | 6.8% |
Etest | 2 | 3.4% |
EUCAST microdilution | 3 | 5.1% |
Macrodilution method | 1 | 1.7% |
Unknown | 11 | 16.9% |
MIC (mg/L) by CLSI microdilution, median (IQR) | ||
Amphotericin B | 1.5 (0.6-2.0) | |
Caspofungin | 1.0 (1.0-8.0) | |
Fluconazole | 10.0 (4.0-72.0) | |
Flucytosine | 0.5 (0.5-0.5) | |
Itraconazole | 0.8 (0.3-1.5) | |
Ketoconazole | 2.0 (2.0-2.0) | |
Miconazole | 32.0 (32.0-32.0) | |
Posaconazole | 0.1 (0.1-0.1) | |
Terbinafine | 1.0 (1.0-1.0) | |
Voriconazole | 1.0 (1.0-1.0) | |
MIC (mg/L) by concentration gradient diffusion assay, median (IQR) | ||
Amphotericin B | 0.02 (0.01-0.03) | |
Caspofungin | 8.5 (1.0-16.0) | |
Itraconazole | 0.4 (0.1-0.6) | |
Posaconazole | 0.03 (0.03-0.03) | |
Voriconazole | 4.8 (1.5-8.0) | |
MIC (mg/L) by EUCAST microdilution, median (IQR) | ||
Amphotericin B | 0.1 (0.03-0.5) | |
Anidulafungin | 0.001 (0.001-0.001) | |
Caspofungin | 1.1 (0.1-2.0) | |
Flucytosine | 0.1 (0.1-0.1) | |
Itraconazole | 0.05 (0.03-0.1) | |
Posaconazole | 0.03 (0.03-0.03) | |
Voriconazole | 1.0 (0.3-8.0) |
MRI, magnetic resonance imaging.
Data may be superadditive.
Other signs and symptoms included haematuria (n = 3), malaise (n = 3), nasal congestion (n = 1), otorrhoea (n = 1), rhinorrhoea (n = 1), signs of heart failure (n = 2), and weight loss (n = 3).