Table 4.
No. | Age | Gender | Etiology of Cirrhosis | Child-Pugh Classification | Concurrent Predisposing Factors | Site of Infection | Antifungal Treatment | Time of Follow-up, d | Cause of Death |
---|---|---|---|---|---|---|---|---|---|
1 | 64 | F | HBV | C | None | CNS | ICZ × 3 d | 3 | CM |
2 | 74 | F | PBC | C | RA, glucocorticoid therapy, diabetes mellitus | CNS | FCZ | 4 | Multiple organ dysfunction syndrome, CM |
3 | 74 | F | AIH | C | Splenectomy, glucocorticoid therapy | CNS, lung | FCZ | 6 | Multiple sites of cryptococcal infection |
4 | 66 | F | PBC | C | Sjogren syndrome | CNS | AmB + ICZ + FC × 3 d FCZ + FC × 5 d FCZ × 5 d |
13 | DIC secondary to cryptococcosis |
5 | 60 | M | HBV | B | None | CNS, bloodstream | ICZ × 17 d Liposomal AmB + ICZ × 3d |
20 | Cerebral herniation |
6 | 47 | F | HBV | C | Connective tissue disease | CNS, bloodstream | VCZ × 19 d FCZ × 9 d |
28 | DIC secondary to bacterial infection |
7 | 65 | F | AIH + PBC | C | AIHA, glucocorticoid therapy | Lung | FCZ × 31 d ICZ × 4 d |
35 | Secondary Aspergillus infection, hepatic, and respiratory failure |
8 | 67 | M | HBV | B | Splenectomy, hepatic tumor | CNS | AmB + FCZ × 14 d FCZ × 31 d |
45 | Decompensated cirrhosis, hepatic cancer |
9 | 70 | M | HBV | C | Diabetes mellitus | CNS | AmB × 38 d FCZ × 100 d |
138 | Cerebral herniation, AKI |
10 | 58 | M | HBV | A | None | CNS | Liposomal AmB × 25 d Liposomal AmB + VCZ × 30 d AmB × 9 d AmB + FCZ × 72 d FCZ × 81 d |
217 | Bacterial pneumonia |
Abbreviations: AIH, autoimmune hepatitis; AIHA, autoimmune hemolytic anemia; AKI, acute kidney injury; AmB, amphotericin B; CM, cryptococcal meningitis; CNS, central nervous system; DIC, diffuse intravascular coagulation; F, female; FC, flucytosine; FCZ, fluconazole; HBV, hepatitis B virus; ICZ, itraconazole; M, male; PBC, primary biliary cholangitis; PC, pulmonary cryptococcosis; RA, rheumatic arthritis; VCZ, voriconazole.