The significance of blood cultures positive for emerging saprophytic moulds in cancer patients

Clin Microbiol Infect. 2004 Oct;10(10):922-5. doi: 10.1111/j.1469-0691.2004.00933.x.

Abstract

The significance of blood cultures positive for emerging saprophytic moulds (e.g., Scedosporium apiospermum, Scedosporium prolificans, Paecilomyces spp.) was evaluated in 30 cancer patients (1996-2002). Diagnostic criteria proposed previously for evaluation of aspergillaemia were used. Blood cultures positive for emerging saprophytic moulds represented 1% of all positive fungal cultures. One case of catheter-related fungaemia was excluded. The remaining 29 cases consisted of true (n = 5), probable (n = 1), indeterminate (n = 7) fungaemia, and contamination (n = 16). True fungaemia was seen only in leukaemia patients and allogeneic bone marrow transplant recipients. S. apiospermum and S. prolificans were the commonest causes of true fungaemia.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Blood / microbiology
  • Child
  • Female
  • Fungemia / complications*
  • Fungemia / diagnosis
  • Fungemia / microbiology
  • Humans
  • Leukemia / blood
  • Leukemia / microbiology*
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Retrospective Studies
  • Scedosporium / growth & development*