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Case Reports in Infectious Diseases
Volume 2017, Article ID 3698124, 4 pages
Case Report

A Case of Ignatzschineria indica Bacteremia following Maggot Colonization

1University of Mississippi School of Medicine-Internal Medicine, Jackson, MS 39216, USA
2University of Mississippi School of Pharmacy, Jackson, MS 39216, USA
3St. Dominic-Jackson Memorial Hospital, Jackson, MS 39216, USA
4University of Mississippi School of Medicine-Emergency Medicine, Jackson, MS 39216, USA
5Department of Medicine-Hospital Medicine, University of Mississippi Medical Center, Jackson, MS 39216, USA
6Department of Medicine-Infectious Diseases, Antimicrobial Stewardship Program, University of Mississippi Medical Center, Jackson, MS 39216, USA

Correspondence should be addressed to Kayla R. Stover; ude.cmu@revotsk

Received 7 September 2017; Accepted 16 October 2017; Published 2 November 2017

Academic Editor: Gernot Walder

Copyright © 2017 Hugh Muse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.