TABLE 3.
Clinical summary for eight patients whose fungemia was recurrent even after CVC removal
Patient no. | Age/sexa | Admission cause | Fungemia episode | Fungemia durationb | CVC removal (day[s]b) | Antifungal drug, dose/day (therapy durationb) |
---|---|---|---|---|---|---|
10 | 25 days/M | Staphylococcus aureus sepsis | First | 0–3 | Yes (3) | None |
Recurrent | 7–12 | No | Amphotericin, 0.5 mg/kg (9–18) | |||
11 | 62 yr/M | Myasthenia gravis | First | 0–7 | Yes (5) | Fluconazole, 200 mg (7–17) |
Recurrent | 50–85 | Yes (85) | Fluconazole, 200 mg (86–100) | |||
12 | 52 yr/M | Bronchial asthma | First | 0–35 | Yes (3, 35) | Amphotericin, 0.5 mg/kg (11–35) |
Recurrent | 48–67 | Yes (67) | Amphotericin, 0.5 mg/kg (66–78) | |||
13 | 40 yr/F | Tuberculous meningitis | First | 0–7 | Yes (8) | Amphotericin, 0.5 mg/kg (4–25) |
Recurrent | 13–27,c 38 | Yes (28) | Amphotericin, 0.5 mg/kg (41–47) | |||
14 | 43 yr/M | Acute renal failure | First | 0–18 | Yes (18) | Amphoterin, 0.5 mg/kg (18–30) |
Recurrent | 156–160 | Yes (160) | Amphotericin, 0.5 mg/kg (160–174) | |||
15 | 22 yr/M | Acute renal failure | First | 0 | Yes (3) | None; fluconazole, 200 mg (7–24)d |
Recurrent | 19–27c | Yes (27) | Amphotericin, 0.5 mg/kg (25–34) | |||
16 | 76 yr/M | Intracranial hemorrhage | First | 0–3 | Yes (3) | Fluconazole, 400 mg (0–19) |
Recurrent | 23 | No | None | |||
17 | 62 yr/M | Traffic accident | First | 0–2 | Yes (2) | Amphotericin, 0.5 mg/kg (4–11) |
Recurrent | 11c | Yes (11) | Amphotericin, 0.5 mg/kg (11–26) |
M, male; F, female.
Number of days after the first positive blood culture in each patient.
Fungemia occurred during antifungal therapy in three patients.
Patient 15 underwent antifungal therapy for the treatment of C. albicans candidemia.