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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| Format: | Article |
| Language: | English |
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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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| author | Nicholas Mielke FNU Monika Stephen J. Cavalieri Manasa Velagapudi |
| author_facet | Nicholas Mielke FNU Monika Stephen J. Cavalieri Manasa Velagapudi |
| author_sort | Nicholas Mielke |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-d96c78b71f4a4f7caca61f4ff7ffcd64 |
| institution | Kabale University |
| issn | 2767-7664 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-d96c78b71f4a4f7caca61f4ff7ffcd642025-08-20T03:32:36ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-07-014710.7326/aimcc.2024.1126Ignatzschineria larvae Bacteremia in a Myiatic Wound Infection: A Case ReportNicholas Mielke0FNU Monika1Stephen J. Cavalieri2Manasa Velagapudi31Department of Infectious Disease, Creighton University School of Medicine, Omaha, Nebraska2Department of Pathology, Creighton University School of Medicine, Omaha, Nebraska2Department of Pathology, Creighton University School of Medicine, Omaha, Nebraska2Department of Pathology, Creighton University School of Medicine, Omaha, NebraskaThis 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.https://www.acpjournals.org/doi/10.7326/aimcc.2024.1126 |
| spellingShingle | Nicholas Mielke FNU Monika Stephen J. Cavalieri Manasa Velagapudi Ignatzschineria larvae Bacteremia in a Myiatic Wound Infection: A Case Report Annals of Internal Medicine: Clinical Cases |
| title | Ignatzschineria larvae Bacteremia in a Myiatic Wound Infection: A Case Report |
| title_full | Ignatzschineria larvae Bacteremia in a Myiatic Wound Infection: A Case Report |
| title_fullStr | Ignatzschineria larvae Bacteremia in a Myiatic Wound Infection: A Case Report |
| title_full_unstemmed | Ignatzschineria larvae Bacteremia in a Myiatic Wound Infection: A Case Report |
| title_short | Ignatzschineria larvae Bacteremia in a Myiatic Wound Infection: A Case Report |
| title_sort | ignatzschineria larvae bacteremia in a myiatic wound infection a case report |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.1126 |
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