Clinical Details in Patients With Possible, Probable, or Proven IA Infections
UPN . | Strat. . | Inhal. . | Stop (d) . | Diagn. (d) . | Neutr. (d) . | Locat. of IA . | CXR Results . | CT Scan Results . | Sero. Results . | Histo. Results . | Culture Results . | Diagnosis Based on . | Category of IA . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3 | ALL3-150 | No | — | 15 | 6 | Trachea/lung | Normal | ND | ND | Pos. | ND | p.m. finding | Proven |
7 | AML | No | — | 23 | 16 | Lung | IPA | IPA | ND | ND | Neg. | Radiology | Probable |
12 | AML | No | — | 43 | 22 | Lung | IPA | IPA | Neg. | ND | Neg. | Radiology | Probable |
50 | AML | No | — | 34 | 29 | Lung | IPA | IPA | ND | ND | Neg. | Radiology | Probable |
117 | AML | No | — | 28 | >28 | Palate | Sinusitis | Sinusitis | Neg. | Neg. | A. flavus | Nasal swab | Probable |
123 | AML | No | — | 15 | >15 | Lung | IPA | IPA | ND | ND | ND | Radiology | Probable |
216 | AML3-150 | No | 53-151 | 15 | 11 | Lung | IPA | ND | Pos. | ND | A. fumig. | Surg. swab | Probable |
266 | AML | No | — | 13 | >13 | Lung | IPA | IPA | Pos. | ND | A. fumig. | BAL | Probable |
308 | AML | No | — | 40 | 38 | Lung | IPA | ND | ND | ND | A. fumig. | Sputum | Probable |
378 | AML | No | — | 32 | 11 | Lung | IPA | IPA | Neg. | ND | ND | Radiology | Probable |
79 | BMT | No | — | 14 | 4 | Sinus | Sinusitis | ND | Pos. | ND | ND | Serology | Possible |
49 | AML3-150 | Yes | — | 37 | >37 | Dissemin. | IPA | IPA | Neg. | Pos. | A. flavus | p.m. finding | Proven |
170 | BMT3-152 | Yes | 8 | 16 | 9 | Lung | Normal | ND | Pos. | Pos. | ND | p.m. finding | Proven |
192 | ALL | Yes | 8 | 23 | 15 | Lung/brain | IPA | IPA | Neg. | Pos. | Neg. | BAL + biopsy | Proven |
258 | AML3-150 | Yes | 1 | 30 | 26 | Lung | IPA | IPA | Pos. | Pos. | A. fumig. | BAL + biopsy | Proven |
51 | AML | Yes | — | 42 | 39 | Lung | IPA | IPA | ND | ND | ND | Radiology | Probable |
102 | BMT | Yes | 6 | 17 | 11 | Lung | IPA | IPA | Pos. | ND | ND | Radiology | Probable |
128 | AML3-150 | Yes | — | 11 | 3 | Lung | IPA | ND | Pos. | ND | Neg. | Radiology | Probable |
241 | AML | Yes | 8 | 13 | >13 | Lung | IPA | IPA | Neg. | ND | Neg. | Radiology | Probable |
360 | AML | Yes | — | 46 | >46 | Lung | IPA | IPA | Neg. | Neg. | Neg. | Radiology | Probable |
305 | BMT | Yes | — | 10 | 5 | Undeterm. | Normal | Normal | Pos. | ND | ND | Serology | Possible |
UPN . | Strat. . | Inhal. . | Stop (d) . | Diagn. (d) . | Neutr. (d) . | Locat. of IA . | CXR Results . | CT Scan Results . | Sero. Results . | Histo. Results . | Culture Results . | Diagnosis Based on . | Category of IA . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3 | ALL3-150 | No | — | 15 | 6 | Trachea/lung | Normal | ND | ND | Pos. | ND | p.m. finding | Proven |
7 | AML | No | — | 23 | 16 | Lung | IPA | IPA | ND | ND | Neg. | Radiology | Probable |
12 | AML | No | — | 43 | 22 | Lung | IPA | IPA | Neg. | ND | Neg. | Radiology | Probable |
50 | AML | No | — | 34 | 29 | Lung | IPA | IPA | ND | ND | Neg. | Radiology | Probable |
117 | AML | No | — | 28 | >28 | Palate | Sinusitis | Sinusitis | Neg. | Neg. | A. flavus | Nasal swab | Probable |
123 | AML | No | — | 15 | >15 | Lung | IPA | IPA | ND | ND | ND | Radiology | Probable |
216 | AML3-150 | No | 53-151 | 15 | 11 | Lung | IPA | ND | Pos. | ND | A. fumig. | Surg. swab | Probable |
266 | AML | No | — | 13 | >13 | Lung | IPA | IPA | Pos. | ND | A. fumig. | BAL | Probable |
308 | AML | No | — | 40 | 38 | Lung | IPA | ND | ND | ND | A. fumig. | Sputum | Probable |
378 | AML | No | — | 32 | 11 | Lung | IPA | IPA | Neg. | ND | ND | Radiology | Probable |
79 | BMT | No | — | 14 | 4 | Sinus | Sinusitis | ND | Pos. | ND | ND | Serology | Possible |
49 | AML3-150 | Yes | — | 37 | >37 | Dissemin. | IPA | IPA | Neg. | Pos. | A. flavus | p.m. finding | Proven |
170 | BMT3-152 | Yes | 8 | 16 | 9 | Lung | Normal | ND | Pos. | Pos. | ND | p.m. finding | Proven |
192 | ALL | Yes | 8 | 23 | 15 | Lung/brain | IPA | IPA | Neg. | Pos. | Neg. | BAL + biopsy | Proven |
258 | AML3-150 | Yes | 1 | 30 | 26 | Lung | IPA | IPA | Pos. | Pos. | A. fumig. | BAL + biopsy | Proven |
51 | AML | Yes | — | 42 | 39 | Lung | IPA | IPA | ND | ND | ND | Radiology | Probable |
102 | BMT | Yes | 6 | 17 | 11 | Lung | IPA | IPA | Pos. | ND | ND | Radiology | Probable |
128 | AML3-150 | Yes | — | 11 | 3 | Lung | IPA | ND | Pos. | ND | Neg. | Radiology | Probable |
241 | AML | Yes | 8 | 13 | >13 | Lung | IPA | IPA | Neg. | ND | Neg. | Radiology | Probable |
360 | AML | Yes | — | 46 | >46 | Lung | IPA | IPA | Neg. | Neg. | Neg. | Radiology | Probable |
305 | BMT | Yes | — | 10 | 5 | Undeterm. | Normal | Normal | Pos. | ND | ND | Serology | Possible |
All patients had fever refractory to broad spectrum antibiotics for greater than 5 days plus clinical evidence of an infection (except for patients UPN 3, 50, and 51, who had only clinical evidence of an infection, but responded to broad spectrum antibiotics).
Abbreviations: A. flavus, Aspergillus flavus; A. fumig., Aspergillus fumigatus; ALL, acute lymphatic leukemia; AML, acute myeloid leukemia; BMT, autologous bone marrow transplantation; CXR, chest x-ray; CT scan, computerized tomography scan; Diagn., time after randomization (in days) when an IA was diagnosed; dissem., disseminated organ infection; Histo., histology for invasive mold; IPA, invasive pulmonary aspergillosis (air crescent sign, halo sign, or other highly compatible nodular infiltrate); Locat., location of invasive aspergillus infection; ND, not done; neg., negative; Neutr., duration of neutropenia <0.5/nL (in days) at the time an IA was diagnosed; p.m., post mortem; pos., positive; Sero., serologic tests for aspergillus; surg., surgical; Stop, discontinuation of allocated study treatment (in days after randomization); Strat., stratum used for randomization; undeterm., undetermined; UPN, unique patient number.
Patient died from aspergillus infection during or shortly after study period.
Patient started inhalations when IA was suspected.
Patient died from noninfectious multiorgan failure during study period.