Ignatzschineria indica bacteremia in a patient with a maggot-infested heel ulcer: a case report and literature review

Vincent Deslandes; Colleen Haney; Kathryn Bernard; Marc Desjardins

doi:10.1099/acmi.0.000078

Ignatzschineria indica bacteremia in a patient with a maggot-infested heel ulcer: a case report and literature review

Access Microbiol. 2019 Nov 15;2(1):acmi000078. doi: 10.1099/acmi.0.000078. eCollection 2020.

Authors

Vincent Deslandes¹, Colleen Haney², Kathryn Bernard³, Marc Desjardins⁴

Affiliations

¹ University of Ottawa, Department of Medical Microbiology, The Ottawa Hospital, Ottawa, Canada.
² University of Ottawa, Department of Surgery, Pembroke Regional Hospital, Pembroke, Ottawa, Canada.
³ National Microbiology Laboratory, Health Canada, Winnipeg, Canada.
⁴ Division of Microbiology, Department of Pathology and Laboratory Medicine, The Ottawa Hospital, Ottawa, Canada.

Abstract

An elderly patient was admitted with sepsis to a community hospital. The individual was found to have a foot wound infested with maggots, and clinical evidence of cellulitis. A blood culture was positive on day 2 with Ignatzschineria indica . The patient was treated successfully with a combination of antibiotics and manual removal of the maggots. Poor living conditions were central to his presentation.

Keywords: Ignatzschineria indica; bacteremia; maggots.

Publication types

Case Reports