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Fungal infections in cancer patients: An international autopsy survey
Authors:G Bodey  B Bueltmann  W Duguid  D Gibbs  H Hanak  M Hotchi  G Mall  P Martino  F Meunier  S Milliken  S Naoe  M Okudaira  D Scevola  J van't Wout
Institution:(1) M.D. Anderson Cancer Center, 1515 Holcombe Blvd, Box 47, 77030 Houston, Texas, USA;(2) University of Ulm, Ulm, Germany;(3) Montreal General Hospital, Montreal, Canada;(4) Pfizer International, Inc., New York, New York, USA;(5) Hanusch Hospital, Vienna, Austria;(6) Shinshu University Hospital, Matsumoto, Japan;(7) University of Heidelberg, Heidelberg, Germany;(8) University La Sapienza, Rome, Italy;(9) EORTC, Brussels, Belgium;(10) Royal Marsden Hospital, London, UK;(11) Toho University, Tokyo, Japan;(12) Kitazato University, Sagamihara, Japan;(13) University of Pavia, Pavia, Italy;(14) Leiden University, Leiden, The Netherlands
Abstract:In an attempt to estimate the frequency of fungal infections among cancer patients, a survey of autopsy examinations was conducted in multiple institutions in Europe, Japan and Canada. Fungal infections were identified most often in leukemic patients and transplant recipients (25 % each). Fifty-eight percent of fungal infections were caused byCandida spp. and 30 % byAspergillus spp. There was considerable variability in the frequency of fungal infections in different countries. Nevertheless, this study clearly demonstrates that fungal infections represent a common complication in cancer patients, especially in patients with leukemia.
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