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Published on: December 11, 2012
A Case of Ignatzschineria indica Bacteremia following Maggot Colonization
Hugh Muse1, Rachel L Jenkins2, Meredith B Oliver2
1University of Mississippi School of Medicine-Internal Medicine, Jackson, MS 39216, USA.
Abstract:
Ignatzschineria indica is a Gram-negative bacterium that is commonly associated with the larvae of flesh flies. I. indica is difficult to isolate in routine laboratory procedures but has been associated with neglected wounds infested with maggots, fever, elevated white blood count and C-reactive protein, and polymicrobial culture results. Other specific hematological/immunological changes are not known. We present a case of I. indica bacteremia and polymicrobial osteomyelitis resulting from infected decubitus ulcers. The patient improved after treatment with cefepime followed by levofloxacin.
Insights
Ignatzschineria indica bacteremia is a rare Gram-negative infection linked to maggot-infested wounds. This case highlights successful treatment of Ignatzschineria indica bacteremia and osteomyelitis with antibiotics.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Clinical Bacteriology
Background:
- Ignatzschineria indica is a Gram-negative bacterium.
- It is difficult to isolate in routine laboratory procedures.
- It is associated with maggot-infested wounds, fever, and elevated inflammatory markers.

