Opportunistic mycelial fungal infections in organ transplant recipients: emerging importance of non-Aspergillus mycelial fungi.

Journal Article (Journal Article;Multicenter Study)

To determine the spectrum and impact of mycelial fungal infections, particularly those due to non-Aspergillus molds, 53 liver and heart transplant recipients with invasive mycelial infections were prospectively identified in a multicenter study. Invasive mycelial infections were due to Aspergillus species in 69.8% of patients, to non-Aspergillus hyalohyphomycetes in 9.4%, to phaeohyphomycetes in 9.4%, to zygomycetes in 5.7%, and to other causes in 5.7%. Infections due to mycelial fungi other than Aspergillus species were significantly more likely to be associated with disseminated (P=.005) and central nervous system (P=.07) infection than were those due to Aspergillus species. Overall mortality at 90 days was 54.7%. The associated mortality rate was 100% for zygomycosis, 80% for non-Aspergillus hyalohyphomycosis, 54% for aspergillosis, and 20% for phaeohyphomycosis. Thus, non-Aspergillus molds have emerged as significant pathogens in organ transplant recipients. These molds are more likely to be associated with disseminated infections and to be associated with poorer outcomes than is aspergillosis.

Full Text

Duke Authors

Cited Authors

  • Husain, S; Alexander, BD; Munoz, P; Avery, RK; Houston, S; Pruett, T; Jacobs, R; Dominguez, EA; Tollemar, JG; Baumgarten, K; Yu, CM; Wagener, MM; Linden, P; Kusne, S; Singh, N

Published Date

  • July 15, 2003

Published In

Volume / Issue

  • 37 / 2

Start / End Page

  • 221 - 229

PubMed ID

  • 12856215

Electronic International Standard Serial Number (EISSN)

  • 1537-6591

Digital Object Identifier (DOI)

  • 10.1086/375822


  • eng

Conference Location

  • United States