African Journal of
Microbiology Research

  • Abbreviation: Afr. J. Microbiol. Res.
  • Language: English
  • ISSN: 1996-0808
  • DOI: 10.5897/AJMR
  • Start Year: 2007
  • Published Articles: 5233

Full Length Research Paper

When and which fungal pathogens should come to mind in patients with hematological malignancies?

Habip Gedik1*, Funda ÅžimÅŸek1, Arzu Kantürk1, Demet Aydın2, Naciye Demirel2, Osman YokuÅŸ2 and Deniz Arıca2
1Department of Infectious diseases and Clinical Microbiology, Ministry of Health Okmeydanı Training and Research Hospital, İstanbul, Turkey. 2Department of Hematology, Ministry of Health Okmeydanı Training and Research Hospital, İstanbul, Turkey.
Email: [email protected]

  •  Accepted: 08 January 2013
  •  Published: 26 February 2013


We retrospectively evaluated the febrile neutropenia episodes of hematological patients and their outcomes with respect to fungal pathogens and antifungal therapy. The study covers all consecutive patients older than 14 years of age and who developed febrile neutropenia episodes from September 2011 and September 2012. 68 consecutive patients with neutropenia and their 129 febrile episodes were analyzed. Mean age was59.36±15.22 years (range: 17-80 years) and 41 cases were male. MASCC score was 19.56 ± 9.04 in the patients with hematological malignancies. VOR, CAS and AM-B were used to treat in 40 episodes of 40 patients, 34 episodes of 27 patients and 12 episodes of 12 patients as first-line therapy, respectively. Candida albicans is still dominant in hematological patients followed by other non-albican Candida species that leads to fatal outcome in patients with history of azole exposure. Design and equipments (HEPA filter, single-room design, etc.) of hematology ward are very important for environmental contamination by Aspergillus spp. that leads to mortal and common invasive fungal infections in patient with hematological malignancies.


Key words: Hematological patients, febrile neutropenia,fungal pathogen, antifungal treatment, invasive fungal infection, candidemia