Ignatzschineria larvae Bacteremia in a Myiatic Wound Infection: A Case Report
This case report describes the fifth confirmed instance to the author's knowledge of Ignatzschineria larvae bacteremia in the United States. A 77-year-old man from western Iowa with chronic lower extremity edema and ulcers presented with acute leg pain, systemic symptoms, and maggot-infested wo...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2025-07-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.1126 |
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| Summary: | This case report describes the fifth confirmed instance to the author's knowledge of Ignatzschineria larvae bacteremia in the United States. A 77-year-old man from western Iowa with chronic lower extremity edema and ulcers presented with acute leg pain, systemic symptoms, and maggot-infested wounds. Laboratory tests and imaging indicated severe infection, with blood cultures positive for gram-negative rods. Identification of I larvae was confirmed through 16S ribosomal gene sequencing. The patient received intravenous antibiotics, had below-the-knee amputation, and was discharged on a regimen of oral trimethoprim/sulfamethoxazole. This case highlights the rarity of I larvae bacteremia in nontropical regions and the need for further research. |
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| ISSN: | 2767-7664 |